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Klin Khir ; (10): 43-5, 2011 Oct.
Artigo em Russo | MEDLINE | ID: mdl-22295551

RESUMO

The efficacy of hemostasis achievement during conduction of a retrobulbar vascular-nervous bunch ligation (RVNBL), using titanic clips while evisceroenucleation performance, was studied up. A comparative analysis of clinical and functional results of surgical treatment of 36 patients, suffering terminal dolorous glaucoma and disaster of a sympathetic ophthalmia complication after an eye penetrating wounding occurrence. In 16 patients (the first group) a standard method of a hemostasis achievement was used while doing evisceroenucleation - a deep orbital tamponade for 5 minutes. In 20 patients (the second group) a procedure of RVNBL was conducted, using titanic clips before the bunch transsection doing. There was established, that while doing a RVNPL using titanic clips, a hemorrhage never occurs, a retrobulbar hematoma do not formated, the soft tissues reaction in the early postoperative period is less pronounced, and the patients postoperative rehabilitation period shortens.


Assuntos
Enucleação Ocular , Evisceração do Olho , Olho , Hemostasia Cirúrgica , Hemorragia Retrobulbar/prevenção & controle , Instrumentos Cirúrgicos , Adulto , Idoso , Olho/irrigação sanguínea , Olho/inervação , Enucleação Ocular/instrumentação , Enucleação Ocular/métodos , Evisceração do Olho/instrumentação , Evisceração do Olho/métodos , Ferimentos Oculares Penetrantes/cirurgia , Feminino , Glaucoma/cirurgia , Hemostasia Cirúrgica/instrumentação , Hemostasia Cirúrgica/métodos , Humanos , Ligadura , Masculino , Pessoa de Meia-Idade , Nervo Óptico/cirurgia , Titânio , Adulto Jovem
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