Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide. The cornerstones of effective treatment of IAIs are early recognition, adequate source control, and appropriate antimicrobial therapy. Prompt resuscitation of patients with ongoing sepsis is of utmost important.
View Article and Find Full Text PDFIntra-abdominal infections (IAI) are an important cause of morbidity and are frequently associated with poor prognosis, particularly in high-risk patients. The cornerstones in the management of complicated IAIs are timely effective source control with appropriate antimicrobial therapy. Empiric antimicrobial therapy is important in the management of intra-abdominal infections and must be broad enough to cover all likely organisms because inappropriate initial antimicrobial therapy is associated with poor patient outcomes and the development of bacterial resistance.
View Article and Find Full Text PDFVessels resection in case of pancreatic head cancer may be associated with portal vein thrombosis. System AngioJet 9000 (Possis Medical Inc.) for rheolytic thrombectomy is one of endovascular device for treatment of patients with venous thrombosis.
View Article and Find Full Text PDFThe study assumes the results of 1010 Lichtenstein's hernioplasties. The goal of the investigation was to estimate the results in dependence of the type of the polypropylene implant. The "lite" mesh was used in 342 cases, the second group of 668 patients had the so called "heavy" mesh endoprosthesis.
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March 2011
Properties of abdominal wall intraperitoneal implants were assessed in vivo on 76 rabbits. Implants of polytetrafluorethilene (PTFE), uncoated mesh polypropylene and polypropylene with one- and two-side collagen coat, oxycellulose and polyoxibutirate coated implants were compared. Animals were extracted from the experiment on 14, 90 and 210 days with further implant assessment.
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July 2009
The study is based on the analysis of 270 patients with ventral postoperative hernias. The developed original scoring system of risk factors permits to choose the optimal method of the abdominal wall repair and decrease the number of hernia recurrence.
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September 2005
Morphological changes in the thyroid tissue after exposure to coagulators were studied. Application of a monopolar coagulator resulted in the formation of narrow marginal coagulation necrosis on day 3, with a fibrous capsule of different thickness, and marginal sclerosis of the glandular parenchyma; inflammatory changes in the connective tissue in the resection edge persisted for 14 days. Bipolar coagulator produced the most pronounced damaging effect leaving septae up to 10 mm long penetrating into the depth of the gland and causing stubborn persistent deep and marginal sclerosis of the gland.
View Article and Find Full Text PDFResults of endovideosurgical treatment of thyroid diseases in 137 patients are analyzed. Ultrasonic scissors allow surgery from mini-approach 2-3 cm long, to refuse ligatures and drainages, to suture surgical wound with intracutaneous cosmetic suture, to discharge patients in 3 days after surgery. All the patients had uneventful postoperative period.
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September 2002
Results of standard strained" methods of hernioplasty are not satisfactory. Laparoscopic methods permit to reduce significantly rate of postoperative complications. Technical difficulty and high cost of videoendoscopic technologies make general use of endoscopic plastic surgery in our country problematic.
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August 2000
In the last 2 years we performed 26 nonstrain hernioplasties for postoperative ventral hernias (16 laparoscopic and 10 open operations). Indications for laparoscopic operation were hernias after "primary" laparotomy, multiple aponeurosis defects, and also demand of simultaneous operations. We preferred open plastics in recurrent hernias, repeated abdominal operations, laparoscopic hernioplasty impossibility revealed during the operation.
View Article and Find Full Text PDFOne-row continuous suture (OCS) was used in 3605 patients while placing anastomoses in different parts of the digestive tract, extrahepatic bile ducts and pancreas as well as suturing after gastrostomy and choledochotomy. Two techniques of OCS were used. In 526 patients OCS was used for biliary tract surgery with complications rate 1.
View Article and Find Full Text PDFThe choice of plastic treatment of inguinal hernias is stile a problem. The rate of relapses in conventional methods of hernioplasty averages 8%. The commonest complications are nerves' injuries and damage to the arterial and venous vessels of the spermatic cord.
View Article and Find Full Text PDFOperation of Whipple (pancreatoduodenal resection) is one of the most complicated in abdominal surgery; it is accompanied by great number of postoperative complications and lethal outcomes. The authors were the first in Russia to use suturing apparates by the firm USSC in pancreatoduodenal resection. The apparates were used in 8 patients, control group consisted of 10 patients previously operated conventionally with the use of uses UO series instruments.
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April 1998
Our small experience of the use of the stomach resection technique through mini-approach with additional introduction of the apparatus Endo GIA through the separate puncture applied in 2 patients showed that according to its results in postoperative period, this method approximates laparoscopic resection, and in the same time it is less time consuming and cheaper. There was neither insufficiency of the anastomosis, nor pneumonias, wound complications. The patients were active since the first day after the operation, were discharged from clinic on the 7-th day pos/top and returned to normal home regime after 1,5--2 weeks.
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October 1996
In the period from 1988 to 1991 the authors carried out 27 pancreatoduodenal resections with 11.1% mortality. From analysis of the results they formulated the main technical principles of this operation and suggested a complex of intraoperative measures for prevention of acute postoperative pancreatitis.
View Article and Find Full Text PDFAbsorptive hydrophilic materials (MAH) containing dioxydin and terrilytin as drug components were studied in experiments on guinea pigs infected with K-11 strain of E. coli. The results showed that the wounds in animals who did not receive treatment were cleaned by the 14th day, while the wounds in animals treated by applications of MAH with dioxydin and terrilytin became clean on the 3rd day, i.
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