RESUMO
It was proposed the method of organ-preserving surgical treatment of chronic ulcers of back wall of duodenal bulb complicated by decompensated stenosis and penetration in intrapancreatic part of common bile duct (RF patent number 2476164 from 27.02.2013). 12 patients were operated by using of this technique. One patient had post-operative pancreatitis. There were not lethal outcomes.
Assuntos
Constrição Patológica/cirurgia , Procedimentos Cirúrgicos do Sistema Digestório , Úlcera Duodenal , Duodeno/cirurgia , Pancreatite , Complicações Pós-Operatórias/terapia , Adulto , Doença Crônica , Constrição Patológica/etiologia , Constrição Patológica/fisiopatologia , Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Úlcera Duodenal/diagnóstico , Úlcera Duodenal/fisiopatologia , Úlcera Duodenal/cirurgia , Duodeno/patologia , Duodeno/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Tratamentos com Preservação do Órgão/métodos , Pancreatite/etiologia , Pancreatite/terapia , Resultado do TratamentoRESUMO
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.
