ABSTRACT
84 patients operated on middle ventral hernia with the use of different methots of implantation and types of mesh implants were included in the study. All patients received the thoriugh US-investigation after the operation. The sublay hernia plasty proved to be the best reconstruction method, demonstrating lesser tissue exudation. The onlay plasty should be preserved only for cases of hernioplasty when the use of sublay technique is impossible.
Subject(s)
Hernia, Ventral/surgery , Herniorrhaphy/methods , Surgical Mesh , Wound Healing , Follow-Up Studies , Hernia, Ventral/diagnostic imaging , Humans , Retrospective Studies , Suture Techniques , Treatment Outcome , UltrasonographyABSTRACT
Dynamic ultrasound (US) investigation was performed in 89 patients operated on inguinal hernia with the use of meshes of various type. The US scanning proved to be a highly informative means of visualization, allowing the objective postoperative assessment of muscular and aponeurotic structures as well as the implant form and position. The study showed, that the mesh implantation was always accompanied by the exudative tissue reaction, which was determined by the physico-chemical characteristics of the implant.
Subject(s)
Hernia, Inguinal/surgery , Herniorrhaphy , Postoperative Complications/prevention & control , Prosthesis Implantation , Ultrasonography/methods , Abdominal Wall/diagnostic imaging , Abdominal Wall/physiopathology , Abdominal Wall/surgery , Adult , Comparative Effectiveness Research , Female , Fluid Shifts/physiology , Herniorrhaphy/adverse effects , Herniorrhaphy/instrumentation , Herniorrhaphy/methods , Humans , Male , Materials Testing/methods , Postoperative Care/methods , Prostheses and Implants/classification , Prostheses and Implants/standards , Prosthesis Implantation/adverse effects , Prosthesis Implantation/instrumentation , Prosthesis Implantation/methods , Surgical Mesh/standards , Time Factors , Treatment Outcome , Wound Healing/physiologyABSTRACT
Ultrasonic examination early after surgery permits to visualize "zone of surgery", to evaluate stomach, duodenum or their stump, to diagnose motor-evacuatory and purulent-septic complications, to determine policy of their treatment. Dynamic ultrasonic examinations permit to realize daily monitoring of "surgical zone" and timely correction of therapy, to reduce number of x-ray and endoscopic examinations after surgery that leads to improving of treatment results.
Subject(s)
Abdomen/diagnostic imaging , Duodenum/diagnostic imaging , Duodenum/surgery , Postoperative Complications/diagnostic imaging , Stomach/diagnostic imaging , Stomach/surgery , Adult , Female , Humans , Male , Middle Aged , Monitoring, Physiologic , Postoperative Complications/diagnosis , Radiography , Time Factors , Treatment Outcome , UltrasonographyABSTRACT
Results of treatment of 763 patients with different forms of cholecystitis were analyzed. It was revealed that complex ultrasonic examination with dopplerography identifies the form of acute cholecystitis, allows to, predict technical difficulties in cholecystectomy and define optimum method of surgery. Comparative assessment of time of surgeries, rate of conversion of surgical approach, number of intra- and postoperative complications, lethality demonstrated that early urgent surgeries in acute cholecystitis before formation of inflammatory paravesical infiltrate in patients without high anesthesiological risk were similar to ones in elective surgeries and surpassed results of delayed surgeries. Early urgent surgeries permit to decrease hospital stay of patients with acute cholecystitis and reduce cost of treatment.
Subject(s)
Cholecystectomy/methods , Cholecystitis/surgery , Acute Disease , Adult , Aged , Cholecystectomy/economics , Cholecystectomy/mortality , Cholecystitis/diagnostic imaging , Cholecystitis/economics , Humans , Length of Stay , Middle Aged , Postoperative Complications , Time Factors , Treatment Outcome , UltrasonographyABSTRACT
Experience with ultrasonic examination (USE) in diagnosis of foreign abdominal bodies in 23 patients is reviewed. Foreign abdominal bodies have specific echosemiotics. It is demonstrated that USE provides maximal information about sizes, structure, location of foreign abdominal bodies, their depth of location and relationship with abdominal organs. It makes sense to make in some cases a differential diagnosis with inflammatory infiltrates and abdominal abscesses, fetus, gastric bezoar. It is necessary for this to use additional X-ray and endoscopic methods. USE helps to decide on optimal surgical approach and gives information for repeated surgery that permits to reduce the time of relaparotomy.
Subject(s)
Abdomen , Foreign Bodies/diagnostic imaging , Postoperative Complications/diagnostic imaging , Abdomen/diagnostic imaging , Diagnosis, Differential , Female , Foreign Bodies/etiology , Foreign Bodies/surgery , Foreign-Body Migration/diagnostic imaging , Humans , Iatrogenic Disease , Male , Reoperation , UltrasonographyABSTRACT
A comparative analysis of 112 patients' case histories with calculous cholecystitis has revealed that morphological alterations of the gallbladder wall and in the perevesicular area as well as the operative techniques are essential for the wound healing and ultrasound picture in cholecystectomy zone. Ultrasound investigation within postoperative 24 hours enables a significant prognosis of the onset of intestinal paresis, its severity and duration. This is important for conducting early prophylactic measures.
