Khirurgiia (Mosk)
December 2012
The results of the single-stage surgical treatment of 54 patients with the complicated forms of colon cancer were analyzed. All patients had radical operations with the formation of primary intestinal anastomosis. For the improvement of the results we have optimized the algorithm of the diagnostics and treatment of such patients, including the endoscopic colon decompression with its recanalization and colic stasis liquidation.
View Article and Find Full Text PDFThe results of 9 videolaparoscopic splenectomies were analyzed. Indications and contraindications to the procedure were formulated, as well as the operative technique. The videolaparoscopic splenectomy proved to be more safe and effective in comparison with the traditional method.
View Article and Find Full Text PDFThe combined method of hernioplasty with the use of biologic and sunthetic implants has been worked out. 12 patients have been operated on: the "open" technique was used in 5 patients, the rest 7 have been operated on laparoscopically. The use of dura mater as an implant for hernioplasty allows avoiding tissue tension by muscle sheath plasty.
View Article and Find Full Text PDFResults of diagnostics and treatment of patients with acute appendicitis, operated on laparoscopically during 2007-2009, were analyzed. Indications and contraindications for the use of laparoscopic method, as well as indications to conversion to traditional open access, were defined. Operative technique for different forms of appendicitis and clinical situations was described.
View Article and Find Full Text PDFThe use of videolaparoscopic methods for the treatment of penetrating stomach and duodenal ulcers, acute cholecystitis, acute pancreatitis, acute appendicitis, intestinal obstruction, acute gynecological diseases and abdominal trauma is analyzed. Laparoscopic methods at urgent abdominal surgery improves the quality of diagnosis and treatment, decrease the rate of postoperative complications and lethality, reduce the hospital stay.
View Article and Find Full Text PDFResults of treatment of 206 patients with perforated gastroduodenal ulcers were analyzed. Atypical clinical picture of perforated ulcer in some patients led to diagnostic mistakes. Diagnostic algorithm including videolaparoscopy in difficult cases is proposed.
View Article and Find Full Text PDFEksp Klin Gastroenterol
November 2002
A perforation of duodenal ulcer is a serious complication of ulcer making up 10-15% in the structure of complications and serving as an absolute indication for operation. According to the information of the Moscow Committee for Public Health, lethality in the group of non-operated patients with perforated stomach and duodenal ulcers made up 100% for the period of 1991-2000.
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