RESUMO
The experience of performance of dermatolipectomy in 124 patients while conducting operative intervention for abdominal hernia and for the abdominal cavity and the small pelvis organs diseases was summarized. The risk degree of the simultant operation performance was estimated while conducting the proper preoperative preparation and the surgical correction volume was planned beforehand. The simultant operation performance did not influence the stationary treatment duration significantly, it also permitted to reduce the duration of temporary disability to shorten significantly the treatment expenses, to stop the stress influence on patient's psychological state caused be the reoperation conduction necessity. Low-molecular heparin fraxiparin (produced by Sanofi firm) was applied for the thromboembolic complications prophylaxis under control of the blood coagulation time and of the coagulogramm indices.
Assuntos
Hérnia Ventral/cirurgia , Lipectomia/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de TempoRESUMO
Experience of performance of concurrent operations in 124 patients with chronic and acute calculous cholecistitis (CC) in presence of concurrent surgical diseases was summarized. Application of oblique minilaparotomic access in right subcostal region without m. rectus abdomini intersection had permitted after the cholecystectomy performance to broaden the indications for the concordant operative interventions performance using other surgical accesses. Inexpediency of doing of surgical interventions on stomach, n. vagi in CC and noncomplicated gastroduodenal ulcer disease in favor of medicinal therapy were substantiated.
