RESUMO
Clinical classification of acute adhesive obturative obstruction of the small bowel is presented. Four stages of acute obstruction are distinguished. The proposed treatment and diagnostic program permitted to predict the course of obstruction, specify indications for surgical and conservative treatment, determine the terms of preoperative preparation. This program permitted to decrease the number of operated patients to 16% and decrease lethality in acute adhesive obturative obstruction of the small bowel to 1,67%.
Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/métodos , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/terapia , Intestino Delgado , Intubação Gastrointestinal/métodos , Doença Aguda , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Índice de Gravidade de Doença , Aderências Teciduais/diagnóstico , Aderências Teciduais/terapiaRESUMO
The results of treatment of 145 patients with different type of intestinal stoma created due to urgent abdominal diseases were analyzed. The analysis of rate and nature of postoperative complications in the control group (67 patients) revealed risk factors of postoperative complications and suggested prophylactic measures during all stages of stoma creation and closure. Individual surgical policy reduced number of complications from 34.3 to 12.8%.
