Features of the course of postoperative period during surgical treatment laparotomic and laparoscopic access to gynecological diseases in women with extragenital pathology

2017 ◽  
pp. 111-115
Author(s):  
V.V. Kostikov ◽  
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Clinical Laboratory ◽  
Pain Syndrome ◽  
Abdominal Pressure ◽  
Laboratory Assessment ◽  
Gynecological Diseases ◽  
Case Rate ◽  
A Current ◽  
Gynecologic Patients

The objective: tactics definition postoperative period at surgical treatment of gynecologic patients with extragenital pathology. Patients and methods. Research included 240 patients who stayed on treatment in a hospital and were operative concerning diseases of internal genitals laparotomical and laparoscopic accesses. All patients had an extragenital pathology. Depending on operation access all patients were divided into two groups. The main group was made by 120 patients who were operated by laparoscopic access. The group of comparison was made by 120 patients whom was operative laparotomical access. Everything patients carried out a clinical-laboratory assessment of a current of the postoperative period. Results. Results of the conducted researches testify that at the compensated accompanying cardiovascular and pulmonary diseases, a diabetes mellitus and an obesity at gynecologic patients at identical gynecologic and extragenital pathology laparoscopic access is more preferable since takes less time, is less travmatical and morbid, is accompanied by a smaller hemorrhage in comparison with the laparotomical. Aftertreatment after laparoscopic operations takes less time that is bound to existence of less expressed pain syndrome, lack of disturbance of function of an intestine, faster restoration of a physical activity and thereof in the smaller postoperative afternoon. At the same time rising of intra abdominal pressure and the provision of Trendelenburg negatively affect hemodynamic indicators at patients with cardiovascular diseases though it doesn’t lead to a decompensation of activity of cardiovascular system. Conclusion. Tactics of maintaining the postoperative period at gynecologic patients with extragenital pathology depends on character of a somatic case rate, option quick to access, a hemorrhage and results of clinical-laboratory inspection. Key words: gynecologic operations, laparotomy, laparoscopy, postpoerative period.

Features of expeditious treatment of gynecologic diseases laparotomic and laparoscopic accesses at women with extragenital pathology

2017 ◽  
pp. 111-114
Author(s):  
V.V. Kostikov ◽  
Keyword(s):  
Cardiovascular Diseases ◽  
Postoperative Period ◽  
Pain Syndrome ◽  
Early Postoperative Period ◽  
Abdominal Pressure ◽  
Short Term ◽  
Comparison Results ◽  
Pulmonary Pathology ◽  
Definition Of ◽  
Gynecologic Patients

The objective: definition of optimum access of an operative measure at gynecologic patients with extragenital pathology. Patients and methods. Were included in research of 240 patients who were on treatment inhospital and operated concerning diseases of internal genitalias laparotomic and laparoscopic accesses. All patients had an extragenital pathology. Depending on operation access all patients were divided into two groups. The main group was made by 120 patients operated with laparoscopic access. 120 patients operated with laparotomic access, made group of comparison. Results. Results of the conducted researches testify that at gynecologic patients with cardiovascular, broncho-pulmonary pathology, an obesity and a diabetes mellitus preferable quick access it is necessary to consider laparoscopy. Operation by laparoscopic access at patients with cardiovascular diseases is accompanied short-term (till 5 minutes) by deterioration of indicators of a hemodynamic at the time of rising of intra abdominal pressure and creation of provision of Trendelenburga. The specified changes quickly are normalized and remain stable throughout operation and in the early postoperative period. Laparotomic access leads to more expressed and long deterioration of hemodynamic indicators at patients with cardiovascular diseases during operation and in the early postoperative period. Laparoscopic operations at patients with extragenital pathology are less enduring, minimum traumatic, are accompanied by small hemorrhage. At the patients operated with laparoscopic access, the pain syndrome, disturbances of function of an intestine is less expressed, a physical activity is quickly restored, terms of stay in hospital and after treatment terms are reduced. Conclusion. At gynecologic patients with the compensated extragenital pathology can be given preference to laparoscopic access of an operative measure. Key words: gynecologic operations, laparotomy, laparoscopy.

scholarly journals Optimization of management of patients with coloproctological profile in outpatient surgical treatment of hemorrhoids

2020 ◽  
Vol 37 (2) ◽  
pp. 93-100
Author(s):  
A. L. Lisichkin ◽  
Yu. B. Busyrev ◽  
T. I. Karpunina
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Postoperative Bleeding ◽  
Pain Syndrome ◽  
Test System ◽  
Interleukin 4 ◽  
Enzyme Linked Immunosorbent Assay ◽  
Outpatient Basis ◽  
Local Inflammation ◽  
Hemorrhoidal Artery Ligation

Objective. Various aspects of the organization and optimization of diagnosis and treatment, including surgical, in patients with hemorrhoids one of the most common diseases in coloproctology are still the subject of discussion. Problems of the postoperative period can be prolonged spasm of anal sphincter, severe pain syndrome and delayed postoperative bleeding. Materials and methods. We conducted a one-center prospective study in 214 patients, undergoing surgical treatment for stage 34 chronic hemorrhoids. The most common surgery for hemorrhoids was a different combination of hemorrhoidal artery ligation (HAL), rectomucopexy (RAR) and excision of one to three external hemorrhoids in one and the same patient. In all the observations, we used a specially developed questionnaire, including a visual-analog scale (VAS) and registration of taking anesthetiсs per day, so as to objectify the assessment of the level of pain after surgery. Identification of local inflammation included taking a blood sample in an amount of 0.1 ml when punctured with a GU insulin syringe during anoscopy and enzyme-linked immunosorbent assay in accordance with test system instructions and determining interleukin 1 (IL-1), interleukin 4 (IL-4), tumor necrosis factor (FNO-) and interleukin 8 (IL-8). Results. According to the results obtained (severity of pain syndrome and amount of anesthetics, absence of complications), patients were conditionally divided into three groups with mild reaction to surgery 44 (20.5 %), moderate 100 (46.5 %) and severe 70 (32.5 %). In the group with mild reaction, the level of the analyzed indices was almost consistent with the norm; in group II, there was an elevation of two of them; in group III, the level of at least three tests was higher than the norm. Conclusions. More favorably, the postoperative period proceeds against the background of initially unexpressed local inflammation. The proposed additional examination method, which allows identifying subclinical local inflammation and assessing its severity, should help to optimize the selection and, as a result, increase the efficiency and safety of surgical treatment of hemorrhoids on an outpatient basis.

scholarly journals Muscular syndrome manifestations at the patients in the late postoperative period after the herniation of invertebral disk surgical treatment

2008 ◽  
Vol 7 (5-2) ◽  
pp. 448-450
Author(s):  
S. A. Fedyanin
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Spinal Canal ◽  
Pain Syndrome ◽  
Neurological Status ◽  
Resonance Imaging ◽  
Canal Stenosis ◽  
Adjacent Segments ◽  
Ultrasound Investigation ◽  
Late Postoperative Period

Checkup of 215 patients in the late period after the dick herniation surgical treatment. Middle age (45,6 ± 0,6) years. Postoperative period is (7,4 ± 0,4) years. The patients were examined: neurological status, lumbar spine radiography, magnetic resonance imaging procedure, spinal canal ultrasound investigation, muscular syndrome index determination. Revealed pain syndrome caused by the disk herniation relapse in operated and adjacent segments, spondylosis and spondylarthrosis, spinal canal stenosis, aseptic epiduritis. The pain syndrome at those patients entails by development of the muscular syndrome and pathologic motor skill.

scholarly journals "FAST-TRACK" IN SIMULTANEOUS OPERATIONS AGAINST THE BACKGROUND OF WIDESPREAD PERITONITIS

2018 ◽  
Vol 25 (5) ◽  
pp. 141-146
Author(s):  
V. Yu. Mykhaylichenko ◽  
O. Yu. Gerbali ◽  
U. I. Basnaev ◽  
N. E. Karakursakov
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Fast Track ◽  
Comparison Group ◽  
Clinical Laboratory ◽  
Average Duration ◽  
Main Group ◽  
Simultaneous Operations ◽  
Duration Of Hospitalization ◽  
Recovery Program

Aim. This research was conducted to study the possibility and effectiveness of the "Fast-track" fast recovery program application when performing simultaneous operations against the background of widespread peritonitis.Materials and methods. In the course of the study were examined 66 patients, the ratio of woman/man was 45:21. The main group – 32 (48,5%) patients with the major disease of constricted postoperative hernia complicated by the widespread peritonitis and chronic calculous cholecystitis (a prospective analysis of surgical treatment). The comparison group – 34 (51,5%) patients with the identical pathology – the retrospective analysis of surgical treatment. The treatment of patients of the main group was supplemented with the application of the elements of the «Fast-track» program. Whereas, the treatment of patients of the comparison group was performed exclusively according to the standard scheme of the patient management with widespread peritonitis.Results. Clinical, laboratory and instrumental data indicate the positive effect of the "Fast-track" program on the process of rehabilitation of patients in the postoperative period. There was a significant acceleration in the recovery of motorevacuation function of the intestine in patients of the main group in relation to the comparison group and a smaller number of complications in the main group in relation to the comparison group against the background of the application of this technique. As a result, the average duration of hospitalization of patients from the comparison group was 10- 5 days (average 12±2,4 days). While the average duration of hospitalization of patients from the comparison group was 17-20 days (on average 18±1,2 days).Conclusion. The use of the "Fast-track" program in simultaneous operations does not increase the effectiveness of surgical treatment, thereby accelerating the process of rehabilitation of patients in the postoperative period. 

scholarly journals The role of reflex-pain syndrome of osteochondrosis and spondyloarthrosis in the results of surgical treatment compressive syndrome offers by disc gerniation (diagnostics and neuron-surgical treatment)

2011 ◽  
Vol 10 (2) ◽  
pp. 73-76
Author(s):  
Ye. B. Kolotov ◽  
R. R. Aminov ◽  
S. V. Yelagin ◽  
V. V. Kelmakov ◽  
Ye. V. Kolotova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Pain Syndrome ◽  
Facet Joints ◽  
In Series

To improve the results of surgical treatment the patients with discogenic compressive syndromes. Using the denervation of interbody discs and facet joints in series allow us, first off all, to induce, and then to discontinue the reflex-pain syndrome in 41 patients in preoperational period, and in 39 patients in long-term postoperative period. Good results come to 82,8 и 89,8% (р < 0,05) accordingly.

scholarly journals Comparative estimation of a pain syndrome in patients after combined operations for coexistent pathology of anal channel and rectum with application of modern and standard surgical technologies

2021 ◽  
Vol 88 (5-6) ◽  
pp. 36-41
Author(s):  
V. V. Balytskyy
Keyword(s):  
Surgical Treatment ◽  
Thin Layer ◽  
Radio Wave ◽  
Postoperative Period ◽  
High Frequency ◽  
Pain Syndrome ◽  
Coagulation Necrosis ◽  
Control Group ◽  
Combined Operations ◽  
Frequency Apparatus

Objective. Comparative estimation of the pain syndrome in patients with concomitant pathology of anal channel and rectum after performance of combined operations, using modern high-frequency electro-surgical and radio-surgical apparatuses, as well as conventional scalpel. Materials and methods. The results of surgical treatment of 689 patients with concomitant pathology of anal channel and rectum, using apparatuses of a high-frequency electro-surgery and radio-wave surgery, were analyzed, using the pain syndrome estimation on 1-7th postoperative day. The patients were distributed into 4 investigation groups and a control group, consisting of 112 patients, operated on using metallic conventional surgical scalpel. Results. The pain syndrome on the first postoperative day was mostly expressed in patients of control group, for anesthesia they needed (4 ± 1) ml of 2% solution of promedol, while the patients of the first, third and fourth groups investigated, in which, accordingly, apparatus of radio-wave surgery «Surgitron» and high-frequency electro-surgical apparatuses «EFA» and «KLS Martin» were used, needed for anesthesia (2 ± 1) ml of 2% solution of promedol. While application of the electro-surgical high-frequency apparatus «ERBE ICC 200» the necessity for the 2% solution of promedol for anesthesia have constituted (3 ± 1) ml. Conclusion. Combined operations, using modern apparatuses of high-frequency electro-surgery and radio-wave surgery give significantly better results, than application of conventional surgical metallic scalpel, because it produces significantly reduced pain syndrome due to thin layer of coagulation necrosis, promoting formation of delicate elastic cicatrix and preventing development of cicatricial strictures of anal channel in postoperative period.

scholarly journals Transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control in surgical treatment of hemorrhoids

2020 ◽  
Vol 87 (11-12) ◽  
pp. 62-66
Author(s):  
A. A. Nykonenko ◽  
G. I. Okhrimenko ◽  
E. I. Haidarzhi ◽  
N. G. Golovko ◽  
I. V. Zubryk ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Pain Syndrome ◽  
Main Group ◽  
Control Group ◽  
Results Of Treatment

Objective. To study the immediate and late follow-up results of treatment in patients, suffering hemorrhoids, to whom transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control was done, and to compare them with results of treatment in patients, operated in accordance to procedure of standard hemorrhoidectomy. Materials and methods. There were analyzed the results of treatment of 111 patients, suffering hemorrhoids. The main group have consisted of 50 patients, to whom transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control was performed. Into control group 61 patients were included, who were operated in accordance to Parks procedure. Results. In the main group the average time of the operation have constituted (50.1 ± 1.4) min, the patient stationary stay - (9.9 ± 0.7) days, the pain syndrome intensity in postoperative period was estimated as 2 - 3 points, what have appeared significantly lesser, than in the control group of the patients (p < 0.01). Good late follow-up results were achieved in 100% patients of the main group and in 88% of the control group. Conclusion. There was established, that transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control permits to reduce essentially the average time of the operation, the patients’ stationary stay, to lower the pain syndrome intensity, and to improve late follow-up results of the hemorrhoids treatment.

scholarly journals Using the aponeurotic hypotensive suture in surgical treatment of patients with median postoperative ventral hernias

2016 ◽  
Vol 24 (4) ◽  
pp. 112-118
Author(s):  
P V Vnukov ◽  
Yu M Sheptunov
Keyword(s):  
Surgical Treatment ◽  
Ventral Hernia ◽  
Postoperative Period ◽  
Transverse Direction ◽  
Early Postoperative Period ◽  
Abdominal Pressure ◽  
Ventral Hernias

One of the operation about the median postoperative ventral hernia is retromuscular plastic Stoppa-Rives. For large defects closure rear sheets of the sheaths of direct muscles associated with the eruption of the seams. The authors propose a new hypotensive aponeurotic suture located opposite each other of the chains of stitches oriented in the transverse direction. This seam is used in 14 patients. All patients were able to take in rear sheets of the sheaths of direct muscles under the control of intra-abdominal pressure. During the early postoperative period without complications. Patients viewed through 6-20 months. Recurrence was not detected. It is concluded that the use of this seam is safe and effective closure of the fascia when alloplasty.

scholarly journals Pain syndrome after laparoscopic cholecystectomy

2016 ◽  
Vol 10 (4) ◽  
pp. 262-272
Author(s):  
Sergey V. Sviridov ◽  
I. V Vedenina ◽  
S. D Taylor
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Surgical Treatment ◽  
Postoperative Period ◽  
Gold Standard ◽  
Pain Syndrome ◽  
Calculous Cholecystitis

Laparoscopic cholecystectomy is the «gold» standard for the surgical treatment of patients with calculous cholecystitis. It is believed that laparoscopic cholecystectomy is not only safe, but also is painless in the postoperative period. At the same time the pain syndrome after laparoscopic cholecystectomy may be very serious. The article discusses the formation and localization of the pain syndrome, diagnostics and pharmacotherapy of the pain syndrome after laparoscopic cholecystectomy.

scholarly journals Dynamics of clinical-laboratory markers of cholestasis on the ursosan therapy in patients with organic abnormalities of the bile-excreting tracts drainage function

2011 ◽  
Vol 10 (4) ◽  
pp. 157-160
Author(s):  
A. L. Korkin ◽  
Ye. A. Ugorelova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Bile Ducts ◽  
Clinical Laboratory ◽  
Early Postoperative Period ◽  
Healthy People ◽  
Laboratory Markers ◽  
Before And After ◽  
High Level ◽  
Conjugated Bilirubin

Study of the ursosan therapy influence on the efficiency of the surgical resolution of cholestasis in the early postoperative period on the bile-excreting tracts. 19 healthy people and 24 patients with organic abnormalities of the drainage function of the bile ducts are examined. The analysis of the clinical, laboratory and instrumental criteria of cholestasis is carried out in the tested groups before and after ursosan’s therapy and the surgical treatment. Ursosan’s prescription leads to 3 times increase of cases of full regression of clinicolaboratory markers of cholestasis during the first week of the surgery on the bile ducts. The ursosan’s therapy should be prolonged more than 8 days after operative restoration of the bile passage on the bile ducts considering high level of lithogenic factors of C bile on these patients as compared to healthy people. The criteria of the completed ursosan’s therapy can be the normalization of the conjugated bilirubin level in the serum and or relief of slagging effect according to the ultrasound results of the bile ducts and a gallbladder.

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