RESUMO
The experimental study of liver cirrhosis with portal hypertension syndrome, modeled in 38 dogs, has been performed. Surgical treatment aimed on the portal decompression consisted of the implantation of the Celsite port-system. The reliable portal pressure decrease was observed in the first week of the experiment (from 269.3±17.8 to 157.4±26.5 millimeter of water). Portal decompression reasonably led to the improvement of the general state of the animals.
Assuntos
Descompressão Cirúrgica/métodos , Modelos Animais de Doenças , Hipertensão Portal/etiologia , Hipertensão Portal/cirurgia , Cirrose Hepática Experimental/complicações , Sistema Porta/cirurgia , Animais , Transfusão de Sangue Autóloga , Cateteres de Demora , Cães , Circulação Extracorpórea/instrumentação , Circulação Extracorpórea/métodos , Hipertensão Portal/patologia , Hipertensão Portal/fisiopatologia , Fígado/irrigação sanguínea , Fígado/patologia , Cirrose Hepática Experimental/patologia , Cirrose Hepática Experimental/fisiopatologia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Pressão na Veia Porta , Sistema Porta/patologia , Sistema Porta/fisiopatologia , Portografia , Ajuste de Prótese , Resultado do TratamentoRESUMO
Treatment results of 54 patients with liver cirrhosis and portal hypertension, complicated by diuretic-resistant ascites, were analyzed. Peritoneal port-system was implanted in 12 cases, the rest 42 patients had peritoneovenous bypass with the use of Levine's valve. Port-system implantation was possible in patients with contraindications for bypass, such as low central venous and intraabdominal pressure gradient, chylous ascites, ventral hernias etc. The use of peritoneal ports provides fractional reinfusion af the ascetic fluid, which excludes such complications as hemodilution and coagulopathy.
Assuntos
Ascite/cirurgia , Diuréticos/uso terapêutico , Cirrose Hepática/complicações , Derivação Peritoneovenosa/instrumentação , Adulto , Ascite/tratamento farmacológico , Ascite/etiologia , Desenho de Equipamento , Feminino , Seguimentos , Humanos , Cirrose Hepática/cirurgia , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto JovemRESUMO
Results of operative treatment of 824 patients with pulmonary echinococcosis over the last 25 years were analyzed. In most often encountered oval shaped cysts cappitonage with vertical half-pursestring sutures was the most simple and effective method of residual cavity elimination with the least postoperative complications rate. In 43 patients with cysts of difficult configuration combined method of parasite bed closure with 2-3 surgical methods was used. Differentiated approach to residual cavity elimination has permitted to increase organ-saving surgeries rate from 79.2 to 92.4% that is very important for medical and social rehabilitation of patients.
