RESUMO
The results of diagnosis and treatment of 31 patients, suffering abdominal sepsis of various origin, are analyzed. There was elaborated algorithm of postoperative treatment ot the patients. Depending on peculiarities of postoperative tactic of treatment, all the patients were divided into two groups. In 12 patients of the main group in a complex of treatment intraabdominal transmembranic dialysis with a sorption therapy was applied. In 19 patients of a comparative group a transmembranic dialysis was not used. Realization of the elaborated surgical tactic of rational and staged application of intraabdominal sorption-transmembranic dialysis, using Sylics, have permitted to reduce a postoperative complications rate down to 25%, postoperative lethality--to 16.6%.
Assuntos
Diálise Peritoneal/métodos , Peritonite/terapia , Sepse/terapia , Desintoxicação por Sorção/métodos , Humanos , Nanopartículas/química , Peritonite/complicações , Peritonite/microbiologia , Peritonite/cirurgia , Sepse/complicações , Sepse/microbiologia , Sepse/cirurgia , Dióxido de Silício/química , Resultado do TratamentoRESUMO
The experience of performance of elective and urgent herniotomy intervention in 1548 patients for inguinal hernia was analyzed. There were compared the results of laparoscopic hernioplasty according to TAPP method and Lichtenstein operation. It was established, that achieving similarly good and excellent results, laparoscopic method owes several advantages and can be used as a method of choice in the treatment of inguinal hernia.
