RESUMO
It was done the analysis of the results of 625 open and endoscopic prosthetic and autoplastic hernia repairs made in a planned and emergency basis during the period from 2005 to 2012. The autoplastic group was divided into three subgroups: the plastic by Bassini, Shouldays and Postempski. The prosthesis group was divided into open and endoscopic subgroups. The open prosthesis group was also divided into subgroups in accordance with the options of hernia sac preparation (excised, reseted, untouched) and the reconstruction of the posterior wall of the inguinal canal (without reconstruction, with a single-layer and double-layer plastic). It was noted hematocele scrotum - 19 (3.04%), hematoma of the spermatic cord - 16 (2.56%), wound infiltration with a hemorrhagic component - 13 (2.08%). It was not noted the hemorrhagic complications in the subgroups of open prosthesis without hernia sac preparation. Reducing surgical aggression against inguinal hernias during the operation can reduce the frequency of hematomas. The absence of a clear classification of hematomas brings to difficulties in assessment of the role of specific surgical techniques in the development of postoperative complications after surgery for inguinal hernias.
Assuntos
Hematoma/etiologia , Hérnia Inguinal/cirurgia , Herniorrafia/efeitos adversos , Hemorragia Pós-Operatória/etiologia , Seguimentos , Hematoma/epidemiologia , Herniorrafia/métodos , Humanos , Incidência , Laparoscopia/métodos , Masculino , Hemorragia Pós-Operatória/epidemiologia , Estudos Retrospectivos , Federação Russa/epidemiologia , Telas CirúrgicasAssuntos
Colectomia , Colo , Neoplasias do Colo , Recidiva Local de Neoplasia , Complicações Pós-Operatórias , Colectomia/efeitos adversos , Colectomia/métodos , Colo/patologia , Colo/cirurgia , Neoplasias do Colo/patologia , Neoplasias do Colo/fisiopatologia , Neoplasias do Colo/cirurgia , Humanos , Recidiva Local de Neoplasia/diagnóstico , Recidiva Local de Neoplasia/etiologia , Recidiva Local de Neoplasia/fisiopatologia , Estadiamento de Neoplasias , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/fisiopatologia , Prognóstico , Fatores de TempoAssuntos
Fístula Biliar/complicações , Fístula Gástrica/complicações , Hemorragia Gastrointestinal/etiologia , Hemostase Endoscópica/métodos , Veia Esplênica/anormalidades , Malformações Vasculares/complicações , Fístula Biliar/diagnóstico , Diagnóstico Diferencial , Endoscopia Gastrointestinal , Seguimentos , Fístula Gástrica/diagnóstico , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Veia Esplênica/cirurgia , Malformações Vasculares/diagnóstico , Malformações Vasculares/cirurgiaRESUMO
The article summarizes the results of the examination and treatment of 99 patients with mechanical jaundice (MJ) related to gallstone disease (GSD). The patients were distributed into three groups according to three degrees of the dysfunction of the greater duodenal papilla (GDP) sphincter. Group 1 consisted of 52 patients with transitory MJ (degree I), Group 2 consisted of 32 patients with stable MJ remaining after coping with the pain attack (degree II), and Group 3 consisted of 15 patients with MJ and cholangitis (degree III). Trophic status disturbances and the effects of balanced clinical nutrition on the results of surgical treatment were assessed in all the patients. The severity and duration of jaundice were found to influence the severity of trophic changes. Clinical nutrition (sipping and enteral tube feeding) favored survival after papilla-sparing surgery in patients with MJ related to gallstone disease.
