RESUMO
Laparoscopic hernioplasty, of them in 19 - for recurrence of hernia after auto- (in 10) and alloplasty in accordance to Liechtenstein procedure (in 9), and in 11, suffering bilateral hernias - were performed in 2011-2016 yrs in 149 patients. All the patients are alive. Complications have occurred in 21 patients. The main technical complexities have occurred in injury of upper epigastric vessels. Ðperative interventions, using laparoscopic procedures are effective, pathogenetically substantiated, guaranteeing comfortable course of postoperative period and possibility of early rehabilitation of the patients.
Assuntos
Hérnia Inguinal/cirurgia , Herniorrafia/métodos , Laparoscopia/métodos , Adulto , Idoso , Artérias Epigástricas/lesões , Hérnia Inguinal/patologia , Humanos , Complicações Intraoperatórias/patologia , Masculino , Pessoa de Meia-Idade , Recidiva , Telas CirúrgicasRESUMO
Comparative assessment of the incidence of thyroid cancer in patients operated on for different thyroid diseases from 1980 to 1986 (2448 cases, group 1), and from 1987 to 1991 (1993 cases, group 2) was carried out. The increase in incidence of thyroid cancer in group 2 patients was noted as well, as that in incidence of cancer development among the other hyperplastic diseases of the thyroid gland, autoimmune thyroiditis in particular. The results obtained are indicative of the necessity for correction of the tactics of treatment and prophylactic follow-up of the patients with different forms of goiter.
Assuntos
Adenocarcinoma Folicular/epidemiologia , Carcinoma Medular/epidemiologia , Carcinoma Papilar/epidemiologia , Neoplasias da Glândula Tireoide/epidemiologia , Adenocarcinoma Folicular/complicações , Adenocarcinoma Folicular/diagnóstico , Adulto , Fatores Etários , Carcinoma Medular/complicações , Carcinoma Medular/diagnóstico , Carcinoma Papilar/complicações , Carcinoma Papilar/diagnóstico , Feminino , Seguimentos , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Doenças da Glândula Tireoide/complicações , Doenças da Glândula Tireoide/cirurgia , Neoplasias da Glândula Tireoide/complicações , Neoplasias da Glândula Tireoide/diagnósticoRESUMO
After operation for differentiated thyroid cancer, late assessment of the indices of cellular and humoral immunity was carried out in 37 patients ranging in age from 20 to 70 years. Control group included 38 healthy subjects of the similar age. In patients examined, increase in IgC content, absence of changes in IgA and IgM levels were noted. Relative content of B-lymphocytes was increased, total number of lymphocytes, T- and O-cells--significantly decreased.