[The role of laparoscopy in the diagnosis and treatment of early postoperative complications].

Results of 276 laparoscopic operations performed for diagnostic and therapeutic purposes in the early postoperative period in 198 patients are analyzed. All the patients had been previously operated on the organs of the abdominal cavity and retroperitoneal space: in 131 patients the investigations were performed with a diagnostic purpose; in 67 patients a laparoscopic method was used for treatment of complications of the early postoperative period. This problem can be solved by using the methods allowing diagnosing the complication as early as possible, before the development of irreversible alterations, and allowing to choose the most rational methods of treatment.

[Treatment of early postoperative intra-abdominal complications in elderly and senile patients].

Results of treatment of 334 patients who had intra-abdominal complications in the early postoperative period were analyzed. Among them there were 160 patients (47.9%) aged 60 years and older.

[Evaluation of the effectiveness of drainage of the abdominal cavity].

In order to generalize the indications for drainage of the abdominal cavity the authors have systematized and subdivided them into one-type groups depending on the aims, (medical, prophylactic) and tasks, which on their opinion can allow the surgeons to better realize the reasons of using this method of treatment and to critically assess it. An analysis of clinical material was made in order to find out the frequency and localization of intraabdominal abscesses and to assess the measures taken for their prevention. It was found that in spite of the abdominal cavity drainage after 1568 operations on emergency indications, abscesses developed in 43 patients.