RESUMO
Treatment and evacuation characteristics of the wounded with chest injuries during counter-terrorist operation on the North Caucasus. The analysis of results of treatment of the wounded with chest injuries during the counter-terrorist operations in the North Caucasus in 1994-1996 (n=607) and 1999-2002 (n=316) is given. Different variants of health care delivery and its contents at various stages, as well as the need for the 1st and 2nd levels of surgical care in medical devices to restore and maintain the balance of intrapleural. The ways of improvement of surgical assistance to the wounded with chest injuries are defined.
Assuntos
Atenção à Saúde , Pneumotórax/cirurgia , Traumatismos Torácicos/cirurgia , Transporte de Pacientes , Lesões Relacionadas à Guerra/cirurgia , Adulto , Atenção à Saúde/métodos , Atenção à Saúde/organização & administração , Humanos , Masculino , Pessoa de Meia-Idade , Federação Russa , Transporte de Pacientes/métodos , Transporte de Pacientes/organização & administraçãoRESUMO
The authors suggest an original method of endobiliary stenting with laparoscopic assistance for reduction of obstructive jaundice in patients with non-operative tumors of hepatopancreaduodenal zone in the case of impossibility of performance of percutaneous or endoscopic decompression of the bile ducts. A recanalization of tumor stricture was carried out with the aid of laparoscopic assistance. A self-expandable metal stent with polymeric covering was implanted in the bile ducts. The proposed method was applied in 5 cases. An adequate decompression of the bile ducts was noted in all cases. The patient's condition was good after surgery. There weren't any cases of serious complications or hospital lethality.
Assuntos
Ductos Biliares/cirurgia , Procedimentos Cirúrgicos do Sistema Biliar , Neoplasias Gastrointestinais/complicações , Icterícia Obstrutiva , Laparoscopia , Stents , Ductos Biliares/patologia , Ductos Biliares/fisiopatologia , Procedimentos Cirúrgicos do Sistema Biliar/efeitos adversos , Procedimentos Cirúrgicos do Sistema Biliar/instrumentação , Procedimentos Cirúrgicos do Sistema Biliar/métodos , Colangiografia/métodos , Descompressão Cirúrgica/métodos , Feminino , Neoplasias Gastrointestinais/classificação , Humanos , Icterícia Obstrutiva/diagnóstico , Icterícia Obstrutiva/etiologia , Icterícia Obstrutiva/fisiopatologia , Icterícia Obstrutiva/cirurgia , Laparoscopia/efeitos adversos , Laparoscopia/instrumentação , Laparoscopia/métodos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Minimamente Invasivos , Cuidados Paliativos/métodos , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/prevenção & controle , Resultado do TratamentoRESUMO
The article presents the authors' experiences with treatment of 292 patients with spontaneous pneumothorax. Results of the suction drainage (188 patients), thoracoscopy and talc pleurodesis (43 patients), videothoracoscopic surgical treatment and pleurodesis (61 patients) are compared. The proposed algorithm allowed to make recurrences 2.8% rarer, the indications for tracheotomy appeared in 1.7% of the patients.
Assuntos
Pneumotórax/diagnóstico , Pneumotórax/terapia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Algoritmos , Humanos , Pessoa de Meia-Idade , Pleurodese , Pneumonectomia , Pneumotórax/cirurgia , Sucção , Talco/administração & dosagem , Cirurgia Torácica Vídeoassistida/métodos , Toracoscopia , Toracotomia , Resultado do TratamentoRESUMO
The concentration of antibiotics in the pulmonary tissue, regional lymph collectors was studied after direct and indirect endolymphatic infusions. The effectiveness of indirect endolymphatic antibiotic therapy is shown for treatment of purulent diseases of the lungs.
