RESUMO
While application of dynamical omentopancreatopexy for the treatment of necrotic pancreatitis there were noted the purulent and visceral complications frequency lowering from 3.34 in every patient--while the closed interventions usage down to 2.02 and of mortality--from 57.2 down to 33% accordingly.
Assuntos
Omento/cirurgia , Pâncreas/cirurgia , Pancreatite Necrosante Aguda/cirurgia , Procedimentos Cirúrgicos Operatórios/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
The experience of examination and treatment of 126 patients with severity trauma of abdomen was summarized. The performance of decompressive laparostomy in treatment of the abdominal compression syndrome was suggested. In 28 patients temporary closure of abdominal cavity by polychlorvinyl blend was applied.
Assuntos
Traumatismos Abdominais/cirurgia , Descompressão Cirúrgica/métodos , Laparotomia/métodos , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , SíndromeRESUMO
Examination was done to 196 injured persons with the closed abdominal trauma and hepatic injury. Reverse dependence between the trauma severity and frequency of abdominal symptoms exposure was established. Importance of rational use of instrumental diagnostical methods to reveal the hepatic injury timely was stressed.
Assuntos
Fígado/lesões , Humanos , Escala de Gravidade do Ferimento , Ferimentos e Lesões/diagnósticoRESUMO
Clinico-statistical analysis of the treatment results of 624 injured persons for the period from 1990 till 1995 year was conducted. In 509 (81.6%) of them the combined closed thoracic trauma was revealed, in 15 (18.4%)--the isolated closed affection of the skull, thorax, abdomen and extremities have occurred. The anatomic-functional model of the injury severity and prognosis outcome estimation was elaborated, an optimal timing and surgical treatment methods of the thoracic cage bones injury was substantiated, what have promoted to lower lethality from 50%--in injured persons, operated on without taking into account the trauma severity and prognosis outcome, to 31.6%--in operated on in the postponed order.
Assuntos
Traumatismos Torácicos/cirurgia , Ferimentos não Penetrantes/cirurgia , Doença Aguda , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Fatores de TempoAssuntos
Traumatismos Cardíacos/cirurgia , Pericárdio/lesões , Ferimentos por Arma de Fogo/cirurgia , Adulto , Alcoolismo/complicações , Emergências , Feminino , Átrios do Coração/lesões , Átrios do Coração/cirurgia , Traumatismos Cardíacos/mortalidade , Ventrículos do Coração/lesões , Ventrículos do Coração/cirurgia , Humanos , Masculino , Pericárdio/cirurgia , Tentativa de Suicídio , Violência , Ferimentos por Arma de Fogo/mortalidadeAssuntos
Abdome , Traumatismos Abdominais , Feto , Traumatismo Múltiplo , Complicações na Gravidez , Ruptura Uterina , Traumatismos Abdominais/cirurgia , Acidentes de Trânsito , Adulto , Feminino , Humanos , Traumatismo Múltiplo/cirurgia , Gravidez , Complicações na Gravidez/cirurgia , Terceiro Trimestre da Gravidez , Ruptura Uterina/cirurgiaRESUMO
The results of treatment of 630 patients with peritonitis of different etiology are presented. In 170 patients with purulent peritonitis, the programmed laparostomy was used in the complex of treatment. A good immediate and long-term result was noted. Lethality reduced by 17.3%.
Assuntos
Peritonite/cirurgia , Adulto , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estomia , Lavagem Peritoneal , Peritônio/cirurgia , Peritonite/mortalidade , Peritonite/patologia , Ruptura Espontânea , Supuração , Procedimentos Cirúrgicos Operatórios/métodos , Taxa de Sobrevida , Fatores de TempoRESUMO
On the basis of treatment of 105 patients operated on for complicated duodenal ulcer disease, it was established that performance of the organ-preserving operation with the ulcer excision supplemented with the pylorus-restoring and pylorus-preserving intervention permitted to reduce considerably the incidence of duodenogastric reflux.