Актуальность выполненного обзора объясняется нередким развитием гнойно-септических осложнений после реконструктивных операций на брюшной аорте и артериях нижних конечностей. Цель. Провести анализ литературы, освещающей проблему гнойно-септических осложнений в реконструктивной хирургии на аорто-бедренно-подколенном артериальном сегменте. Материал и методы. Проанализировано 50 литературных источников. Результаты. Гнойно-септические осложнения после реконструктивных операций на брюшной аорте и артериях нижних конечностей обусловлены множеством факторов. Варианты гнойных и септических осложнений артериальных операций различны, для лечения которых предложено несколько алгоритмов. Однако результаты их практического использования не позволяют говорить о положительном решении данной проблемы в ангиохирургии. Выводы. При развитии гнойно-септических осложнений после реконструктивных операций на брюшной аорте и артериях нижних конечностей необходимы индивидуальные хирургические решения.
образование медицинское, медицинские университеты, история, хирургия, Можейко А. А., Гродно, Беларусь
In the paper the results of surgical treatment of ten patients with acute fulminant pancreatitis and dynamics of glucometabolism in pre- and postoperative period are analyzed. There is a significant lowering of glucose level after extensive partial pancreatectomy. The patients have a sharp increase of hyperglycemia on the 9th day ofpostoperative period. This glucose level decreases up to physiological norm in some patients. Received results demonstrate the variable glucose changes in postoperative period. Individual correction of them is necessary due to total compensation of glucometabolism in some cases.
The purpose of the study was to show specific features of operational approaches to aorto-enteric fistula in patients who sustained reconstructive operation on the aorta. A successful clinical case report on operative treatment of secondary aorto-enteric fistula is described. Еxtraanatomic bypass with dissociation of fistula and intestinal reconstruction is a method of choice in surgical treatment of patients with aorto-enteric fistula.
Introduction. There are a great number of people with ventral hernias (up to 3-7% of the population) and frequent recurrences of the disease (up to 10-30%). The aim of work was to improve the techniques of ventral hernia repair. Materials and methods. We analyzed the results of 197 patients with ventral hernias who received treatment in the State Institution «1134th Military Medical Center of the Armed Forces of the Republic of Belarus» in Grodno from 2007 to 2011. Results. Postoperative complications were not observed. The patients were followed-up from one to four years after the surgery. Recurrences were not found. Conclusions. The techniques of hernioplasty were improved: 1) fixation of the mesh to the rib with intermuscular integration and additional percutaneous anchoring; 2) continuous goffered suture on the fibrous region of aponeurosis; 3) duplication of allogenic graft to reinforce the inguinal canal; 4) interposition of abdominal internal oblique muscle between the mesh and spermatic cord in Lichtenstein’s operation. These techniques contribute to permanent cure.
Appendices epiploicae may be located in the region of intestinum cecum. Their spontaneous inflammation is casuistic. Analysis of clinical presentation in this case allows to detect the common signs of the disease
The article presents comparative results of cytoprotectors application in surgical correction of bloodflow in 113 patients with critical ischemia of the lower limbs. Positive dynamics of local destructive and postischemic disorders, outcomes of limb revascularization, studying of indicators of acid-alkaline balance and gas composition in blood have demonstrated the validity of application of the given group of drugs in complex treatment of main arteries atherosclerosis.
Максибел в лечении ран и нагноительных заболеваний кисти / Н. Д. Маслакова [и др.] // Военная медицина. - 2009. - №4.-С.132-135.
