RESUMO
The experience with surgical treatment of 89 patients with recurrent inguinal hernia is presented. A method for hernioplasty with the use of the pyramidal muscle transferred for covering the inguinal space is described. In 37 patients, no hernia recurrence and injury to the femoral vessels were revealed. This was indicative of the effectiveness of the method suggested.
Assuntos
Hérnia Inguinal/cirurgia , Músculos Abdominais/transplante , Adolescente , Adulto , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva , Procedimentos Cirúrgicos Operatórios/métodosRESUMO
The investigations on 10 human cadavers, in the experiment--on 130 white rats and 28 dogs, in the clinic--in 40 patients after amputation of an extremity, employing the conventional technique and that with the use of the neurotoms created which was developed, are presented. Dependence of the pain syndrome on different methods for neurectomy and their state in a stump was studied.
Assuntos
Amputação Cirúrgica/métodos , Extremidades/cirurgia , Amputação Cirúrgica/instrumentação , Animais , Cadáver , Cães , Extremidades/inervação , Humanos , Dor Pós-Operatória/epidemiologia , RatosRESUMO
Changes of intra-abdominal pressure, the degree of abdominal wall stretching, the strength of connection of the tissues and the quality of the operative wound, central hemodynamics, and the indices of external breathing were studied depending on the type of hernioplasty in 44 animals (dogs) and 420 patients with large ventral hernias. The authors suggest a method for surgical treatment of ventral hernias by twisted aponeurotic sutures applied under control of intraabdominal pressure. With the use of this method the number of complications in the main group reduced 3.5 times. With an increase of intraabdominal pressure by more than 1.5 times as compared to the initial value, slackening incisions of the anterior walls of the sheath of the rectus abdominis muscle are recommended. The length of the incisions is controlled by the values of intraoperative tensiomanometry. The number of recurrences with the of the suggested method was 6%.
Assuntos
Hérnia Ventral/cirurgia , Abdome/fisiopatologia , Abdome/cirurgia , Idoso , Animais , Cães , Estudos de Avaliação como Assunto , Hemodinâmica , Hérnia Ventral/fisiopatologia , Humanos , Pessoa de Meia-Idade , Mecânica Respiratória , Técnicas de SuturaAssuntos
Obstrução das Vias Respiratórias/cirurgia , Procedimentos Cirúrgicos Ambulatórios/métodos , Asfixia/cirurgia , Cartilagem Cricoide/cirurgia , Cartilagem Tireóidea/cirurgia , Adulto , Idoso , Obstrução das Vias Respiratórias/patologia , Asfixia/patologia , Criança , Cartilagem Cricoide/patologia , Emergências , Feminino , Humanos , Masculino , Postura , Cartilagem Tireóidea/patologiaAssuntos
Hérnia Femoral/cirurgia , Hérnia Inguinal/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Seguimentos , Humanos , Métodos , Pessoa de Meia-Idade , Recidiva , Fatores de TempoAssuntos
Hérnia Umbilical/cirurgia , Hérnia Ventral/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Métodos , Pessoa de Meia-IdadeRESUMO
The examination of 119 corpses, experiments in 67 dogs and clinical management of 127 patients with the II-III degrees of cancer of the middle third of the esophagus have supported new methods of esophagoplasty by a tube from the greater curvature of the stomach with highly germetic sutures, longer transplants and diaphragmo-percutaneous conduction of it onto the neck. The method is shown to be more safe, less traumatic, not followed by functional alterations of the heart, lungs, diaphragm.
