Assuntos
Hérnia Ventral/cirurgia , Erros de Diagnóstico , Feminino , Hérnia Ventral/diagnóstico , Hérnia Ventral/mortalidade , Hospitalização/estatística & dados numéricos , Humanos , Doença Iatrogênica/epidemiologia , Incidência , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/cirurgia , Federação Russa/epidemiologia , Fatores de TempoRESUMO
Among a group of 2,060 patients who underwent operation for strangulated abdominal hernias, 127 (6.2%) died. Analysis of the fatal outcomes showed that factors causing a negative effect on the results of treatment are essentially homogeneous. These included: a high proportion of elderly patients, late hospitalization, and the doctors' therapeutic and diagnostic errors. The percentage of the latter in the in-patient clinic is quite high (20.5). Immediate hospitalization of patients with a strangulated hernia and skilled operative treatment, as well as planned preventive management of individuals with hernia, are still the main reserve in improving the results of treatment of this pathological condition.
Assuntos
Hérnia Ventral/cirurgia , Complicações Pós-Operatórias/mortalidade , Fatores Etários , Idoso , Feminino , Hérnia Ventral/mortalidade , Hérnia Ventral/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/prevenção & controle , Fatores de TempoRESUMO
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.
Assuntos
Úlcera Duodenal/cirurgia , Úlcera Péptica Perfurada/cirurgia , Complicações Pós-Operatórias/etiologia , Antro Pilórico/cirurgia , Úlcera Gástrica/cirurgia , Adulto , Úlcera Duodenal/complicações , Humanos , Pessoa de Meia-Idade , Complicações Pós-Operatórias/prevenção & controle , Úlcera Gástrica/complicações , Técnicas de Sutura/efeitos adversos , Fatores de Tempo , Vagotomia/métodosRESUMO
Under study were parameters of protein metabolism and state of nitrogen balance in 83 patients with peritonitis, in 29 of them (with diffuse peritonitis) partial parenteral nutrition was performed. It reduced the degree of protein catabolism, facilitated elimination of metabolic disorders. Reinforcement of the ration of the caloric-nitrogen nutrition in order to completely fill up the energetic and plastic expenditures of the organism at the early postoperative period will entail danger of superflous transfusion load.
