RESUMO
A comparative evaluation of clinico-immunological examinations of 45 patients with diffuse purulent peritonitis treated by the open method of management of the abdominal cavity and 46 patients treated by the traditional closed method was made. Pathogenetic grounds of the effectiveness of the open method of management of the abdominal cavity in patients with peritonitis are presented. Immunological alterations are shown allowing the evaluation of the severity of the state of patients in the postoperative period. They should be taken into account when prescribing the immunocorrective therapy.
Assuntos
Cavidade Peritoneal/cirurgia , Peritonite/imunologia , Doença Aguda , Adulto , Idoso , Formação de Anticorpos/imunologia , Humanos , Imunidade Celular/imunologia , Contagem de Leucócitos , Pessoa de Meia-Idade , Peso Molecular , Peptídeos/sangue , Peritonite/sangue , Peritonite/cirurgia , Fatores de TempoRESUMO
On the basis of the experience with the treatment of 100 patients with the ruptured spleen (in 44 of them the injury was associated with injuries of other organs of the abdominal cavity, skeleton bones or cranio-cerebral traumas) the authors recommend to use organ-preserving operations more often (in 42-46% of the patients). A technique of one of the operations--a compression ("hammering") of the spleen by a peritoneum grafts--is described.
Assuntos
Baço/cirurgia , Ruptura Esplênica/cirurgia , Ferimentos não Penetrantes/cirurgia , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Peritônio/cirurgia , Complicações Pós-Operatórias , Esplenectomia , Retalhos CirúrgicosRESUMO
Literature data on 294 patients with injuries of the duodenum and 24 personal observations were analyzed in order to reveal the localization and character of the injuries, surgical interventions, complications and outcomes of damages of this organ. Injuries of the duodenum, especially of its retroperitoneal portions, were found to be more frequent. Reserves for improving results of the treatment were shown to be in better diagnosing and performing operations with minimum amount of anastomoses, careful drainage of the retroperitoneal space, aspiration of the gastro-intestinal content.