RESUMO
Isolated correction of venous component of chronic lymph-venous insufficiency by a way of dressing of perforated veins, extravasated correction of valves of deep veins and femoral cross shunting (24 patients of control group), and also combined correction, supposing the same operations in combination with creation lymph-venous anastomosis (22 patients of main groups) at infringement of peripheric flow of lymph and venous insufficiency in patients with edematous form of posttraumatic diseases have been carried. The complex estimation of efficiency of operative treatment on subjective and objective attributes of illness is offered. Direct and remote postoperative results proved to be more preferable in main group.
Assuntos
Linfedema/cirurgia , Síndrome Pós-Flebítica/cirurgia , Insuficiência Venosa/cirurgia , Adulto , Doença Crônica , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Militares , Indução de Remissão , Federação RussaAssuntos
Úlcera Duodenal/complicações , Úlcera Péptica Hemorrágica/diagnóstico , Úlcera Péptica Perfurada/diagnóstico , Doença Aguda , Adulto , Terapia Combinada , Diagnóstico Diferencial , Úlcera Duodenal/diagnóstico , Úlcera Duodenal/terapia , Humanos , Masculino , Úlcera Péptica Hemorrágica/terapia , Úlcera Péptica Perfurada/terapiaRESUMO
Treatment of 129 patients with palmar fibromatosis was performed; all the men were from 20 to 63 years old. In 56 patients (1st main group) operation of aponeurectomy was performed with the help of an ultrasonic scalpel (USS), in 53 patients (2nd main group) the operation was made with the help of the microsurgical technique (MST), 30 patients (a control group) were operated upon by usual methods. The use of USS and MST were followed by excellent (92.6%), good (2.1%) and satisfactory (5.3%) long-term results.
Assuntos
Contratura de Dupuytren/cirurgia , Adulto , Doença Crônica , Fibroma/cirurgia , Seguimentos , Mãos/cirurgia , Humanos , Masculino , Microcirurgia/instrumentação , Microcirurgia/métodos , Microcirurgia/estatística & dados numéricos , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Indução de Remissão , Instrumentos Cirúrgicos , UltrassomRESUMO
An analysis of the course of the postoperative period has shown that continuous mesenterial retroperitoneal novokain blockade is considerably more effective than medicamentous methods of prophylactics and treatment of postoperative paresis of the intestine, it has a good anesthetizing effect. When using the blockade the intestine function was completely reestablished in 111 (92.5%) patients operated upon.
Assuntos
Abdome Agudo/cirurgia , Traumatismos Abdominais/cirurgia , Pseudo-Obstrução Intestinal/prevenção & controle , Bloqueio Nervoso , Complicações Pós-Operatórias/prevenção & controle , Simpatolíticos/administração & dosagem , Adulto , Feminino , Humanos , Pseudo-Obstrução Intestinal/tratamento farmacológico , Pseudo-Obstrução Intestinal/etiologia , Masculino , Mesentério/efeitos dos fármacos , Mesentério/inervação , Pessoa de Meia-Idade , Peristaltismo/efeitos dos fármacos , Peristaltismo/fisiologia , Complicações Pós-Operatórias/tratamento farmacológico , Complicações Pós-Operatórias/etiologiaRESUMO
An analysis of outcomes of treatment of 288 patients has shown that using the microsurgical technique when removing hernias of lumbar disks allows to perform more sharing manipulations with the roots, vessels and disk, gives favorable results of treatment. Good outcomes were obtained in 68 patients, satisfactory--in 12 patients, bad--in 2 patients. The period of the intrahospital treatment became shorter.
Assuntos
Deslocamento do Disco Intervertebral/cirurgia , Laminectomia/métodos , Humanos , Vértebras Lombares/lesões , Vértebras Lombares/inervação , Vértebras Lombares/cirurgia , Microcirurgia/métodos , Cuidados Pós-Operatórios , Raízes Nervosas Espinhais/cirurgiaRESUMO
Under the ambulatory treatment there were 300 patients: 120 of them had gastric ulcers and 180 had ulcers of the duodenum. The immediate and long-term results of the treatment were followed-up in 243 patients. The analysis has shown that Solcoseryl and film-forming glue "Statizol" included in the complex of general therapy of chronic ulcers of the stomach and duodenum by means of a local application (through the endoscope) made the average terms of healing 2 times shorter as compared with the routine treatment of ulcers and considerably reduced recidivation of the disease (in the main group recurrences took place in 19-10%, in the control group--in 36-42.4% of the cases). Most effective was the complex treatment including the application of Solcoseryl and film-forming glue "Statizol" simultaneously.
Assuntos
Actiemil/administração & dosagem , Cianoacrilatos/administração & dosagem , Úlcera Péptica/tratamento farmacológico , Extratos de Tecidos/administração & dosagem , Adolescente , Adulto , Idoso , Doença Crônica , Ensaios Clínicos como Assunto , Quimioterapia Combinada , Duodenoscopia , Duodeno/efeitos dos fármacos , Feminino , Mucosa Gástrica/efeitos dos fármacos , Gastroscopia , Humanos , Mucosa Intestinal/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Cicatrização/efeitos dos fármacosAssuntos
Coristoma/patologia , Glândula Tireoide , Doença Crônica , Humanos , Masculino , Pessoa de Meia-Idade , Osso OccipitalAssuntos
Extravasamento de Materiais Terapêuticos e Diagnósticos/diagnóstico por imagem , Neoplasias das Tubas Uterinas/diagnóstico por imagem , Histerossalpingografia/efeitos adversos , Adulto , Diagnóstico Diferencial , Extravasamento de Materiais Terapêuticos e Diagnósticos/cirurgia , Feminino , HumanosRESUMO
Under examination and treatment there were 154 patients with lumbar osteochondrosis. In diagnosing the diseases contrast methods were used: pneumomyelography in 70 patients, peridurography in 114 patients, discography in 30 patients. Surgical treatment was used in 105 patients. An analysis has shown the contrast methods of x-ray examination in hernias of lumbar disks to establish more exact levels of localization of the process which facilitates determination of a rational operative access. Discography was shown to be the most valuable and reliable method of diagnosis of the disease.
Assuntos
Meios de Contraste/administração & dosagem , Deslocamento do Disco Intervertebral/diagnóstico por imagem , Adolescente , Adulto , Feminino , Humanos , Disco Intervertebral/diagnóstico por imagem , Disco Intervertebral/cirurgia , Deslocamento do Disco Intervertebral/cirurgia , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/cirurgia , Masculino , Pessoa de Meia-Idade , Mielografia/métodos , Osteocondrite/diagnóstico por imagem , Osteocondrite/cirurgia , Pneumorradiografia/métodos , Canal Medular/diagnóstico por imagemRESUMO
Patients with chronic gastroduodenal ulcers (210) and gastric ulcers (256) were treated in the out-patient clinic. The ulcerous defect of the mucous membrane was covered by the aerosolic film-making glue "Statizol" through a fibroendoscope (about 10 applications of the drug). The method was used in 110 patients after polypectomy in addition to the routine therapeutic treatment given to all the patients. The application of the film-making glue "Statizol" in the complex therapy of peptic ulcers was shown to shorten the period of healing the ulcerous defects, to give less amount of recurrent ulcer diseases (not more than 14.5%) and to be a prophylactic measure against bleedings after polypectomy.
Assuntos
Antiulcerosos/uso terapêutico , Cianoacrilatos , Úlcera Duodenal/terapia , Úlcera Gástrica/terapia , Adolescente , Adulto , Idoso , Assistência Ambulatorial , Feminino , Hemorragia Gastrointestinal/prevenção & controle , Humanos , Masculino , Pessoa de Meia-Idade , Pólipos/cirurgia , Complicações Pós-Operatórias/prevenção & controle , Neoplasias Gástricas/cirurgiaRESUMO
Experience with the treatment of 460 patients with panaritium, abscesses, phlegmons, infectious wounds have shown that propolis is an expedient remedy (in additional to the the routine treatment). They have shown the stimulating, antiinflammatory and anti-microbial action of propolis.
Assuntos
Própole/administração & dosagem , Resinas Vegetais/administração & dosagem , Dermatopatias Infecciosas/tratamento farmacológico , Infecção dos Ferimentos/tratamento farmacológico , Adolescente , Adulto , Idoso , Anti-Infecciosos Locais , Anti-Inflamatórios , Infecções por Enterobacteriaceae/tratamento farmacológico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infecções por Pseudomonas/tratamento farmacológico , Infecções Estafilocócicas/tratamento farmacológico , Cicatrização/efeitos dos fármacosRESUMO
Under observation were 106 patients with closed injuries of the scrotum and organs in it. The conservative treatment was used in 24 patients, 82 patients (77,3%) were subjected to operations. Different injuries of testicles, epididymis or tunics of the testicles were observed. The operative treatment allows making reliable diagnosis of injuries of the testicle and its epididymis, gives favourable results and considerably accelerates the healing of the patients.
Assuntos
Escroto/lesões , Ferimentos não Penetrantes/cirurgia , Adulto , Hematoma/etiologia , Humanos , Masculino , Ferimentos não Penetrantes/complicaçõesRESUMO
Under observation were 288 patients with different internal injuries of the popliteal articulation. Isolated and associated injuries of the internal meniscus were found in 229 patients (79,5%). Operations were performed in 274 patients. The remote results were found to be good in 223 patients (77,4%), satisfactory--in 53 people (18,4%). Bad results were found in 12 patients (4,2%).