RESUMO
Results of treatment of 84 patients, to whom simultant operative interventions on abdominal, the small pelvis and retroperitoneal organs were performed for concomitant somatic diseases, were analyzed. The author's technology of laparolifting was applied in 36 patients, and classical technology with carboxyperitoneum adjustment - in 48. Variants of optimal operative accesses were determined, structure and rate of postoperative complications, peculiarities of the early postoperative period course studied. Indisputable advantages of the lifting laparoscopic operations were established, including reduction of the postoperative complications rate and severity, the postoperative pain syndrome intensity, the concurrent chronic diseases exacerbation rate, and postoperative stationary stay.
Assuntos
Abdome/cirurgia , Apendicectomia/métodos , Colecistectomia Laparoscópica/métodos , Laparoscopia/métodos , Nefrectomia/métodos , Ovariectomia/métodos , Abdome/patologia , Idoso , Apendicectomia/instrumentação , Apendicite/patologia , Apendicite/cirurgia , Colecistectomia Laparoscópica/instrumentação , Colelitíase/patologia , Colelitíase/cirurgia , Feminino , Humanos , Doenças Renais Císticas/patologia , Doenças Renais Císticas/cirurgia , Laparoscopia/instrumentação , Remoção , Masculino , Pessoa de Meia-Idade , Nefrectomia/instrumentação , Cistos Ovarianos/patologia , Cistos Ovarianos/cirurgia , Ovariectomia/instrumentação , Dor Pós-Operatória/prevenção & controle , Complicações Pós-Operatórias/prevenção & controle , Período Pós-Operatório , Estudos RetrospectivosRESUMO
The efficacy of some infusion media, vitamins, and metabolites in resection of the liver in acute blood loss was studied in experiments on dogs. Inclusion of vitamins B1, B2, and B6, lipoic acid, calcium pantothenate, nicotinamide, solution of alpha-glutamate and gamma-aminobutyric acid (aminalone) in the infusion led to a sharp increase of myocardial contractility, increase of cardiac output and total hepatic blood flow, normalization of biochemical blood values, and restoration of the activity of hepatocyte enzymes.