RESUMO
Experimental investigation of antibacterial properties of the threads of A mark, kapromed A and antimicrobal absorbable blends, and of their influence on bacterial contamination of the sutures and anastomoses zone was performed. Antimicrobal absorbable thread in conjunction with antimicrobal absorbable blend was applied in 116 patients while suturing and the anastomoses forming in peritonitis. It was established that this method is secure one for the sutures insufficiency prophylaxis.
Assuntos
Implantes Absorvíveis , Anti-Infecciosos/uso terapêutico , Peritonite/cirurgia , Suturas , Anastomose Cirúrgica , Animais , RatosRESUMO
The condition was studied of intermittent motility (IM) of the stomach and duodenal bulb in patients with duodenal ulcer in the preoperative period, six months later and 12 months after performing selective proximal vagotomy (n = 131, 103, and 83 respectively). All patients presented with disorders in their IM which were found to be dependent on their preoperative condition failing to reverse even 6 to 12 months after having the operation.
Assuntos
Úlcera Duodenal/fisiopatologia , Duodeno/fisiopatologia , Motilidade Gastrointestinal , Periodicidade , Vagotomia Gástrica Proximal , Adolescente , Adulto , Idoso , Úlcera Duodenal/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Fatores de TempoRESUMO
A total of 39 patients with chronic calculi-free cholecystopancreatitis were evaluated for the reoccurring motility (ROM) of the stomach and duodenum using the method of ionoballoonotensiocinesiography. All patients presented with different types ROM disturbances accompanied in most cases by duodenal hypertension, duodenogastric reflux and reflux-gastritis. The ROM state should be considered in prescribing pathogenetic combined conservative treatment. Principles allowing some judgement about the ROM state have been determined.
Assuntos
Colecistite/fisiopatologia , Duodeno/fisiopatologia , Motilidade Gastrointestinal , Pancreatite/fisiopatologia , Periodicidade , Adulto , Idoso , Colecistite/diagnóstico , Colecistite/terapia , Doença Crônica , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pancreatite/diagnóstico , Pancreatite/terapiaAssuntos
Abdome/cirurgia , Anti-Infecciosos/uso terapêutico , Materiais Biocompatíveis , Nylons , Polímeros , Complicações Pós-Operatórias/prevenção & controle , Quinoxalinas , Suturas , Portadores de Fármacos , Combinação de Medicamentos , Humanos , Complicações Pós-Operatórias/microbiologia , Solubilidade , Procedimentos Cirúrgicos Operatórios/métodosRESUMO
Gastric and duodenal motor function was studied using ionoballoono-tensiokinesiography method in 77 patients with chronic calculous cholecystitis. Various periodic motor activity (PMA) infringements, both hypo- and hyperkinetic types, were diagnosed, mainly associated with duodenal hypertension, duodenogastric reflux and reflux-gastritis. Principles of pre- and postoperative correction of the PMA state for the guarantee of cholecystectomy functional full value were determined.
Assuntos
Colecistectomia , Colecistite/cirurgia , Colelitíase/cirurgia , Duodeno/fisiologia , Motilidade Gastrointestinal , Estômago/fisiologia , Adulto , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Fatores de TempoRESUMO
In 131 patients with the duodenal ulcer disease the dependence of duodenogastric reflux frequency and intensity from the periodic motor gastric and duodenal activity was determined with the help of balloonographic method. Various mechanism of the origin were elucidated, and the correction schemes of the duodenogastric reflux are proposed.
Assuntos
Úlcera Duodenal/complicações , Refluxo Duodenogástrico/terapia , Adolescente , Adulto , Idoso , Agonistas Colinérgicos/uso terapêutico , Antagonistas Colinérgicos/uso terapêutico , Antagonistas de Dopamina/uso terapêutico , Refluxo Duodenogástrico/cirurgia , Feminino , Antagonistas dos Receptores H2 da Histamina , Humanos , Masculino , Pessoa de Meia-Idade , Parassimpatolíticos/uso terapêuticoRESUMO
The intensity of heat emission stream was studied up in 204 patients with an acute appendicitis, acute cholecystitis, hernia in the region of the planned incision line before the operation and on the second, fourth, sixth, eighth day after its conduction. The precise diagnostic distinctions were obtained about the heat stream level in uncomplicated cases and when infiltrate and abscess formation occur. This distinctions appear much more earlier than the classical inflammation features.
Assuntos
Apendicite/cirurgia , Colecistite/cirurgia , Inflamação/diagnóstico , Complicações Pós-Operatórias/diagnóstico , Doença Aguda , Adolescente , Adulto , Regulação da Temperatura Corporal , Feminino , Humanos , Inflamação/etiologia , Inflamação/fisiopatologia , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/fisiopatologia , Índice de Gravidade de Doença , Termografia , CicatrizaçãoRESUMO
In 31 patients with obliterating atherosclerosis of the lower limbs the heat irradiation changes under the influence of sound vibration with 2.5 kHz and 0.66 W/cm2 intensity were studied. The durable effect of the combined application of therapeutic treatment and "vibrotherapy" was noted.
Assuntos
Arteriosclerose Obliterante/terapia , Perna (Membro)/irrigação sanguínea , Som , Vibração/uso terapêutico , Adulto , Idoso , Arteriosclerose Obliterante/fisiopatologia , Humanos , Pessoa de Meia-Idade , Fluxo Sanguíneo RegionalRESUMO
The results of experimental and clinical studied of the suture material "Caproiod" are presented. The advantage of the material suggested is its favourable effect on regenerative processes in the region of suture and anastomoses which resulted in their increased hermeticity. Use of "Caproiod" permits to prevent the development of postoperative complications caused by a quality of the suture material.
Assuntos
Anti-Infecciosos Locais , Procedimentos Cirúrgicos do Sistema Digestório , Suturas , Adulto , Idoso , Idoso de 80 Anos ou mais , Animais , Cães , Combinação de Medicamentos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nylons , Complicações Pós-Operatórias/prevenção & controle , QuinoxalinasRESUMO
The experimental substantiation and clinical approbation of the absorbable antimicrobial threads "Capromed A" and "Caproiod" in the surgery of the extrahepatic bile-ducts were carried out. The complications caused by the use of suture material were not revealed. A high effectiveness of the "Caproiod" thread in the emergency surgery of the extrahepatic bile ducts was noted.
Assuntos
Anti-Infecciosos Locais/administração & dosagem , Ductos Biliares Extra-Hepáticos/cirurgia , Caprolactama , Iodo/administração & dosagem , Nylons , Quinoxalinas , Suturas , Adulto , Idoso , Animais , Cães , Combinação de Medicamentos , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de TempoRESUMO
Tissue response to the implanted iodine-containing thread and its antibacterial activity were studied in the experiment. When compared with the existing analogues, the thread studied, causes the lesser inflammatory response, has pronounced antimicrobial action and has no negative effect on the course of a wound process. Universality of antiseptic action of iodine creates wide possibilities for use of the threads in the surgical practice.
Assuntos
Anti-Infecciosos Locais , Iodo , Suturas , Animais , Anti-Infecciosos Locais/farmacologia , Relação Dose-Resposta a Droga , Implantes Experimentais , Iodo/farmacologia , Fígado/cirurgia , Masculino , Testes de Sensibilidade Microbiana , Ratos , Staphylococcus aureus/efeitos dos fármacos , Fatores de TempoRESUMO
A comparative analysis is presented of the effect of sonic waves and drug treatment of 31 patients with postvagotomy gastrostasis. The motor gastric activity was evaluated by clinical data and electrogastrography. It was established that the effect of sonic waves (frequency: 2.5 kHz, sound stream intensity 0.66 Wt/cm2 2 times daily per 10-15 min. for 3-10 days) favour rapid restoration of the motor activity of stomach and intestines and are a favourable background for the reduced probability of development of pulmonary and cardio-vascular complications that facilitates the postoperative period in this category of patients.
Assuntos
Cuidados Pós-Operatórios/métodos , Complicações Pós-Operatórias/terapia , Som , Gastropatias/terapia , Vagotomia , Adulto , Idoso , Terapia Combinada , Estudos de Avaliação como Assunto , Feminino , Motilidade Gastrointestinal , Humanos , Masculino , Metoclopramida/administração & dosagem , Pessoa de Meia-Idade , Cuidados Pós-Operatórios/efeitos adversos , Complicações Pós-Operatórias/fisiopatologia , Som/efeitos adversos , Gastropatias/fisiopatologiaRESUMO
An analysis was carried out of the efficiency of using sound waves, drugs and electrostimulation on the motor activity of the duodenum in 45 patients with chronic duodenal obstruction of functional genesis. Excellent and good results were obtained in 80% of patients treated with sound waves complexly with other methods, in 40% when only drugs were used and 53% when only electric stimulation was used. The advantages of sound in the treatment are emphasized as concerns early effect, long-term results, absence of side-effects, low incidence of recurrences of the disease.
Assuntos
Obstrução Duodenal/terapia , Terapia por Estimulação Elétrica , Metoclopramida/administração & dosagem , Som , Adulto , Idoso , Doença Crônica , Terapia Combinada , Obstrução Duodenal/fisiopatologia , Terapia por Estimulação Elétrica/métodos , Estudos de Avaliação como Assunto , Feminino , Motilidade Gastrointestinal , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The study was made of sound waves effect on duodenal motility (DM) in 60 chronic sufferers with duodenal functional ileus. The exposure to 2.0-3.0 kHz sound waves of 0.57-0.73 W/cm2 intensity promoted intestinal contractions, duodenal passage of barium, enhanced biopotential, amplitude and tone. These parameters tended to acquire values similar to duodenal motility in health.
Assuntos
Obstrução Duodenal/terapia , Duodeno/fisiopatologia , Estimulação Física , Som , Potenciais de Ação/fisiologia , Adulto , Idoso , Doença Crônica , Obstrução Duodenal/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Peristaltismo/fisiologiaAssuntos
Anti-Infecciosos Locais/normas , Caprolactama/normas , Gastroenteropatias/cirurgia , Nylons/normas , Povidona/normas , Quinoxalinas/normas , Infecção da Ferida Cirúrgica/prevenção & controle , Suturas/normas , Materiais Biocompatíveis/normas , Combinação de Medicamentos , Humanos , SolubilidadeRESUMO
By means of a polarographic method, the peculiarities of blood distribution in the tissues of the lower extremities in 34 patients with obliterative atherosclerosis and in 29--with obliterative endarteritis after sympathectomy were studied. In successful intervention, the prognostically significant increase in oxygen tension in the muscles at the level of crura and feet was noted. It is suggested to use this test under conditions of medicinal ganglionectomy with the aim of prognostication of the effectiveness of the forthcoming lumbar sympathectomy.
Assuntos
Arteriosclerose Obliterante/fisiopatologia , Circulação Sanguínea/fisiologia , Endarterite/fisiopatologia , Perna (Membro)/irrigação sanguínea , Músculos/irrigação sanguínea , Consumo de Oxigênio/fisiologia , Oxigênio/sangue , Simpatectomia/métodos , Adulto , Arteriosclerose Obliterante/cirurgia , Endarterite/cirurgia , Humanos , Região Lombossacral/inervação , Masculino , Pessoa de Meia-Idade , Músculos/metabolismoRESUMO
Basing on the experience with examination of 69 patients, the use of indices of thermal flow of a skin in the diagnosis of acute appendicitis was substantiated. A high diagnostic value of the method is demonstrated.