RESUMO
The long-term follow-up results of the surgical treatment of the adhesive ileus were analyzed in 128 patients after laparotomy and 49 patients after laparoscopic adhesiolisis. The quality of life was assessed with the use of the adopted SF-36 scale. The successful treatment result was registered in 92% of patients after the laparoscopic adhesiolisis and in 69% of patients who had laparotomy. The modified scale of the quality of life assessment can be used for the medico-social expertise.
Assuntos
Íleus/psicologia , Laparoscopia/métodos , Laparotomia/métodos , Qualidade de Vida , Feminino , Seguimentos , Humanos , Íleus/cirurgia , Masculino , Pessoa de Meia-Idade , Inquéritos e QuestionáriosRESUMO
State of the immune system was analyzed in 30 patients with the adhesive abdominal disease in long postoperative terms out of the attack of the disease. Survey had demonstrated certain disorders in both cell and humoral immune systems. Strong decrease of immunoglobulins G and A, T-lymphocytes and neutrophilic phagocytic activity were registered. Thus, the use of agents, activising T- and B-cell immunity should be considered in patients with the adhesive abdominal disease.
Assuntos
Abdome , Linfócitos B/imunologia , Imunidade Celular/imunologia , Linfócitos T/imunologia , Adulto , Feminino , Seguimentos , Humanos , Masculino , Aderências Teciduais/imunologiaRESUMO
Long-term results of operations for acute commissural intestinal obstruction (ACIO) were studied in 128 patients 2 to 10 years after surgery. Only patients with uncomplicated forms of ACIO (without intestinal necrosis and generalized peritonitis) have been included into the analysis. The results of the treatment were assessed both in the group and individually after 87 operations of total adheolysis and 39 cases of partial comissurotomies. Clinical symptoms of abdominal commissures after elimination of ACIO were seen in 44.2% patients, including recurrence of ileus in 20.3% patients. Interintestinal commissures and conglomerations were the causes of ACIO in 44.5% cases that should be taken into account at adheolysis made laparoscopically. It is demonstrated that long-term results of ACIO treatment depend on surgical trauma and associated recurrence of adhesive process.
