RESUMO
Results of emergency surgical aid by acute diseases of abdomen rendered in 39 Moscow hospitals were analyzed. Results of surgical service were analyzed generally during the period of 1993-2007, and in comparison according to 5-year intervals: 1993-1997; 1998-2002 and 2003-2007 years. Analysis demonstrated the progressive decrease in general lethality, as well as postoperative lethality. The observed improvement is associated with the development of material and technical support, introduction of new technologies, drug supply and resuscitation facilities.
Assuntos
Abdome Agudo/cirurgia , Serviço Hospitalar de Emergência/organização & administração , Abdome Agudo/mortalidade , Humanos , Moscou , Estudos Retrospectivos , Taxa de Sobrevida/tendênciasRESUMO
The long-tube decompression was used for treatment of 54 selected patients with diagnosis of early postoperative intestinal obstruction. For this purpose a silicon double-lumen wire-guided tube has been endoscopically introduced into the proximal portion of the small intestine. In 40 cases continuous decompression of the small bowel brought about a successful resolution of intestinal obstruction by nonoperative therapy. Failure of the conservative treatment within the first 48 hours after intubation has led to operation in 14 cases. Six patients died in this series (4 patients died of multiple organ failure, 2--of thromboembolism). The study has shown that the method can be successfully used.