RESUMEN
The article presents an analysis of surgical treatment of 2155 patients with incarcerated hernias of the anterior abdominal wall. Pyo-septic complications took place in 24.3%. A comparison of results of treatment by traditional methods with those using solution of sodium hypochlorite (indirect electrochemical oxidation of blood) has shown that in the group of patient treated with sodium hypochlorite lethality was reduced from (18.8 +/- 0.2)% to (11.2 +/- 0.2)%, the amount of suppuration of the operative wound was 1.8 times less and the average number of bed-days was (4.5 +/- 0.2) less.
Asunto(s)
Desinfectantes/administración & dosificación , Hernia/complicaciones , Complicaciones Posoperatorias/tratamiento farmacológico , Sepsis/tratamiento farmacológico , Hipoclorito de Sodio/administración & dosificación , Femenino , Herniorrafia , Humanos , Recién Nacido , Infusiones Intravenosas , Masculino , Peritonitis/tratamiento farmacológico , Peritonitis/etiología , Cuidados Posoperatorios , Complicaciones Posoperatorias/etiología , Recurrencia , Sepsis/etiología , Soluciones , Factores de TiempoRESUMEN
The results of treatment of 171 patient operated on for perforative pyloroduodenal ulcer in follow-up of up to 12 years are analysed. After closure of a perforative ulcer, the bad result was noted in 51.6% of the patients. The performance of the different types of vagotomy contributed to stable recovery in 88.3% of the patients.
Asunto(s)
Úlcera Duodenal/cirugía , Úlcera Péptica Perforada/cirugía , Complicaciones Posoperatorias/etiología , Antro Pilórico/cirugía , Úlcera Gástrica/cirugía , Adulto , Úlcera Duodenal/complicaciones , Humanos , Persona de Mediana Edad , Complicaciones Posoperatorias/prevención & control , Úlcera Gástrica/complicaciones , Técnicas de Sutura/efectos adversos , Factores de Tiempo , Vagotomía/métodosAsunto(s)
Úlcera Duodenal/cirugía , Úlcera Gástrica/cirugía , Adolescente , Adulto , Anciano , Úlcera Duodenal/complicaciones , Estudios de Seguimiento , Gastrectomía , Humanos , Persona de Mediana Edad , Úlcera Péptica Hemorrágica/cirugía , Úlcera Péptica Perforada/cirugía , Úlcera Gástrica/complicaciones , Técnicas de Sutura , VagotomíaAsunto(s)
Úlcera Duodenal/cirugía , Gastrectomía/métodos , Úlcera Gástrica/cirugía , Vagotomía/métodos , Drenaje , Síndrome de Vaciamiento Rápido/epidemiología , Estudios de Seguimiento , Jugo Gástrico/metabolismo , Humanos , Masculino , Persona de Mediana Edad , Cuidados Paliativos , Antro Pilórico/cirugíaRESUMEN
Vagotomy is recommended by the author for the treatment of peptic ulcers. Vagotomy in combination with operations on the stomach and without them was used in 92 of 148 patients operated upon for the ulcer perforation. Lethality following suturing of the perforation hole was 7.7%, following vagotomy and the elimination of the perforation hole it was 1,1%. On the basis of the data obtained the author recommends vagotomy for the treatment of gastroduodenal ulcers complicated by perforation.