RESUMO
Laparoscopy was used in differential diagnostics of acute appendicitis in 524 female patients. Acute gynecological diseases were diagnosed in 123-of them, inflammatory processes in appendages being most frequent. The laparoscopic technology allowed not only to avoid diagnostic errors in all the cases, but also to take all necessary surgical measures. The effectiveness of laparoscopic operations for acute gynecological diseases was confirmed by the absence of complications and recovery within short terms.
Assuntos
Apendicite/diagnóstico , Apendicite/cirurgia , Doenças dos Genitais Femininos/diagnóstico , Doenças dos Genitais Femininos/cirurgia , Laparoscopia , Doença Aguda , Adulto , Anestesia Intravenosa , Diagnóstico Diferencial , Feminino , Humanos , Pessoa de Meia-Idade , Gravidez , Gravidez Ectópica/diagnóstico , Gravidez Ectópica/cirurgiaRESUMO
In 1992-1994 laparoscopic hernioplasty was performed in 403 patients with inguinal (371) and femoral (32) hernias. Mean duration of hospital-stay 2.3 days, period of incapacity 9.7 days. Complication were encountered in 25 (3.7%) patients, including perforation of the small intestine and commissural ileus for which laparotomy had to be performed. Recurrent hernias occurred in 7 (1.7%) patients in periods of 2 weeks to 1.5 month due to poor fixation of the implant and choice of an inadequate operative method.
Assuntos
Hérnia Femoral/cirurgia , Hérnia Inguinal/cirurgia , Laparoscopia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Recidiva , Fatores de TempoAssuntos
Anormalidades Múltiplas/cirurgia , Ducto Colédoco/anormalidades , Vesícula Biliar/anormalidades , Anormalidades Múltiplas/diagnóstico por imagem , Idoso , Colangiografia , Colecistectomia , Colecistografia , Coledocostomia , Ducto Colédoco/diagnóstico por imagem , Ducto Colédoco/cirurgia , Feminino , Vesícula Biliar/cirurgia , HumanosRESUMO
The authors made an analysis of early operations on 6076 patients. This tactics used in 84.3% of the patients allowed to reduce postoperative lethality up to 2.5%.