scholarly journals Regarding the issue of abdominal drainage

2012 ◽  
Vol 93 (4) ◽  
pp. 671-674
Author(s):  
E K Salakhov
Keyword(s):  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Primary Method ◽  
Optimal Method ◽  
Abdominal Drainage ◽  
Abdominal Organs ◽  
Frequency Of Use ◽  
Effective Drainage ◽  
The Impact ◽  
Outcome Of Surgery

The article discusses with main questions regarding drainage of the abdominal cavity, the types of drains and drainage devices. The outcome of surgery on the abdominal organs is largely dependent on effective drainage. There is still debate regarding the drainage techniques, shape and drainage material, indications and frequency of use. In deciding whether abdominal drainage is needed it is necesary to determine the most optimal method, its effectiveness and possible complications. Abdominal drainage is a necessary and important final stage of many operations, and sometimes the primary method of surgical intervention. At the same time, at the time of draining the abdominal cavity it is essential to know about the negative sides of the drainage and complications. There are certain difficulties in assessing the impact of abdominal drainage.

scholarly journals An Effective Way to Prevent Depressurization of Carboxyperitoneum and Extraperitoneal Insufflation During Simultaneous Laparoscopic Interventions

2020 ◽  
Vol 9 (1) ◽  
pp. 21-26
Author(s):  
M. K. Abdulzhalilov ◽  
A. M. Abdulzhalilov ◽  
M. R. Imanaliyev
Keyword(s):  
Carbon Dioxide ◽  
Postoperative Complications ◽  
Surgical Intervention ◽  
Subcutaneous Tissue ◽  
Abdominal Cavity ◽  
Abdominal Organs ◽  
Number Of Patients ◽  
Simultaneous Surgery ◽  
Reduce Carbon Dioxide ◽  
The Cost

ABSTRACT. Laparoscopic simultaneous surgery (LSS) in patients with multisystem abdominal organs lesion is accompanied by ports’ re-installation for subsequent surgical intervention. Preserved trocar wounds (PTWs) pass carbon dioxide from the abdominal cavity, increasing its consumption and causing depressurization of the carboxyperitoneum. The incidence of extraperitoneal insufflation during laparoscopy varies from 0.43 to 2% (I.V. Vartanova et al., 2016). The presence of many methods of sealing PTWs indicates their inefficiency.AIM OF STUDY. To develop an easy-to-use, more reliable and effective way of sealing PTWs.RESULTS. As a result, a comparative evaluation of known methods of sealing PTWs, we have developed an easy-to-use, more reliable and effective way of sealing PTWs «Method for sealing punctures of the abdominal wall after removing the trocar during a laparoscopic surgery» (patent RF for the invention № 2621121).DISCUSSION. This method was performed in 55 patients, in all cases it provided reliable PTWs tightness, allowed maintaining stable carboxyperitoneum during laparoscopic interventions, without increasing carbon dioxide consumption, which reduced the cost of LSS and prevented the development of both intraand postoperative complications. The uniqueness of this method is that PTW is sealed from the side of the abdominal cavity, preventing carbon dioxide from penetrating into either the preperitoneal or subcutaneous tissue.CONCLUSION. An increase in the number of patients with combined surgical pathology necessitates the use of the developed method for sealing punctures when moving trocars and neutralizing sub- and postoperative complications. In addition, this method allows to reduce carbon dioxide consumption.

scholarly journals ANALISIS OF THE STTUCTURE OF ABDOMINAL PAIN SINDROME IN CHILDREN IN CONDITIONS OF THE CENTRAL REPUBLICAN HOSPITAL

2019 ◽  
Vol 23 (1) ◽  
pp. 35-37
Author(s):  
Nail V. Rayanov ◽  
R. N. Rayanov ◽  
N. R. Nizaev
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Pediatric Surgery ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Emergency Operation ◽  
Acute Calculous Cholecystitis ◽  
Abdominal Organs ◽  
Functional Nature ◽  
Calculous Cholecystitis

Abdominal pain is a serious problem in pediatric surgery. Abdominal pain is one of the most frequent complaints addressed by children and their parents to doctors of various specialties: pediatrician, gastroenterologist, infectious diseases specialist, pediatric surgeon, ambulance workers. Abdominal pain is a symptom of many diseases of organs of abdominal cavity. It may be of a functional nature, which does not pose a threat to the life of the child and does not require surgical intervention, and pain associated with acute pathology of the abdominal organs (acute appendicitis, invagination of the intestine, diverticulitis, intestinal obstruction, acute calculous cholecystitis, injuries of the abdominal cavity and so on. e) requiring an emergency operation.

scholarly journals Modern approaches to abdominal drainage in diffuse peritonitis

2015 ◽  
Vol 96 (3) ◽  
pp. 385-390
Author(s):  
E K Salakhov ◽  
K K Salakhov
Keyword(s):  
Clinical Trials ◽  
Randomized Clinical Trials ◽  
Abdominal Cavity ◽  
Diffuse Peritonitis ◽  
Present Stage ◽  
Abdominal Drainage ◽  
Medical Technologies ◽  
Frequency Of Use ◽  
Improved Methods

An overview of domestic and foreign literature reflecting modern approaches to abdominal drainage in diffuse peritonitis is presented. Materials and methods of drainage are described, the results of some randomized clinical trials exploring the effectiveness of abdominal drainage are analyzed. This medical manipulation is one of the first methods of debridement, which does not lose importance to this day, despite a long history. Drains reduce and inhibit the antibacterial and absorbent function of the peritoneum. At this stage, silicone drains, known for flexibility, durability and the possibility of long-term use are widespread. Use of drainages is limited in time, as they are not biologically inert and become bounded from the abdominal by adhesions and fibrin deposits. So far, there are heated debates about how to drainage, drainage installation method, frequency of use and indications. Good performance of the drainages can be achieved only if they function constantly, like in abdominal dialysis. Of course, this does not mean that drains should not be used in treatment of peritonitis, but they should be placed under strict indications. Thus, despite the large experience, the question of the abdominal drainage utility at peritonitis remains open, as currently applied improved methods for drainage have several disadvantages and the use of any method is often controversial. The development of new, highly effective methods of abdominal cavity debridement in peritonitis is an actual task, especially at the present stage of medical technologies development.

scholarly journals Tratamiento quirúrgico de la apendicitis aguda durante la pandemia: el daño colateral del COVID-19

2020 ◽  
Vol 112 (4) ◽  
pp. 450-458
Author(s):  
María C. Barreiro ◽  
◽  
Tomás Lanceloti ◽  
Roberto Salgado ◽  
David Solinas ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Surgical Intervention ◽  
Hospital Length ◽  
Abdominal Drainage ◽  
Average Hospital ◽  
Intravenous Antibiotics ◽  
Number Of Patients ◽  
The Impact ◽  
The City

Background: COVID-19 pandemic has generated changes regarding the management of patients with all kind of pathologies. Here we show the experience concerning the surgical treatment of acute appendicitis (AA) in a teaching hospital in the city of Buenos Aires during the lockdown, and its comparison with the same period of 2019 in order to assess the differences between the timing for consultation, intraoperative findings and the treatment outcome. Material and methods: A prospective database was retrospectively analyzed. We compared patients undergoing surgical treatment for AA in March-July of 2019 v. March-July 2020, taking into account the preoperative period and comparing the outcome regarding the surgical intervention and the impact in the postoperative period between the two groups. Results: 127 patients were included, 46 treated during the pandemic. Patients undergoing surgical treatment during the pandemic had a higher incidence of peritonitis (61.7% vs. 76.1%; p = 0.09) and higher requirement of abdominal drainage (9.9% vs. 23.9%; p = 0.03). There was an increase in the incidence of complications (10.9 vs. 4.9%; p: 0.21), reoperations (8.7 vs. 1.23%, p: 0.03), readmissions (6.5 vs. 0%, p: 0.02) and need for out-patient intravenous antibiotics (6.5 vs. 0%; p: 0.02). The average hospital length was of 1.89 (SD 2.04) and 3.24 (SD 7.31) for the groups operated before and during pandemic, respectively. Conclusions: During the COVID-19 pandemic, the number of patients undergoing surgical intervention because of AA decreased compared to the previous year, with increased complications in the postoperative period, higher compromise of the appendix, and longer hospital stay.

Nursing the uroabdomen patient

2021 ◽  
Vol 12 (3) ◽  
pp. 131-138
Author(s):  
Sam McGaw
Keyword(s):  
Metabolic Acidosis ◽  
Urinary Tract ◽  
Diagnostic Imaging ◽  
Urinary Diversion ◽  
Nursing Care ◽  
Postoperative Care ◽  
Surgical Intervention ◽  
Urinary Catheter ◽  
Abdominal Cavity ◽  
Patient Presentation

Uroabdomen, the presence of urine in the abdominal cavity, commonly occurs in dogs and cats, particularly following a trauma. Initial stabilisation of the patient is essential to treat the multisystemic effects of electrolyte and metabolic derangements, including hyperkalaemia, azotaemia and metabolic acidosis. Diagnosis is confirmed by comparing laboratory analysis of abdominal fluid and serum. Urinary diversion is required, often via placement of a urinary catheter, to prevent continuing urine accumulation. Once haemodynamically stable, diagnostic imaging may be performed to confirm the location of the urinary tract rupture, with several modes of imaging available. Surgical intervention may be necessary to repair the urinary leak, this is dependent on the location and severity of the trauma to the urinary tract. Registered veterinary nurses play an important role in the management of the uroabdomen patient, from initial triage and stabilisation, to assisting with imaging, anaesthetic monitoring and postoperative care. This article will discuss the aetiology of the uroabdomen, patient presentation and how to effectively treat the critical patient. Nursing care is vital for ensuring patient welfare and identifying complications that may arise.

New Concept for a Thoracic Drainage System Using Magnetic Actuation

2019 ◽  
Vol 26 (6) ◽  
pp. 705-711
Author(s):  
Daisuke Taniguchi ◽  
Keitaro Matsumoto ◽  
Yoshihiro Kondo ◽  
Tomoshi Tsuchiya ◽  
Ikuo Yamamoto ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
Drainage System ◽  
Magnetic Actuation ◽  
Thoracic Cavity ◽  
Common Procedure ◽  
Thoracic Drainage ◽  
Drain Fluid ◽  
Laboratory Trial ◽  
General Surgeons ◽  
Effective Drainage

Objectives. Thoracic drainage is a common procedure to drain fluid, blood, or air from the pleural cavity. Some attempts to develop approaches to new thoracic drainage systems have been made; however, a simple tube is often currently used. The existing drain presupposes that it is placed correctly and that the tip does not require moving after insertion into the thoracic cavity. However, in some cases, the drain is not correctly placed and reinsertion of an additional drain is required, resulting in significant invasiveness to the patient. Therefore, a more effective drainage system is needed. This study aimed to develop and assess a new thoracic drain via a collaboration between medical and engineering personnel. Methods. We developed the concept of a controllable drain system using magnetic actuation. A dry laboratory trial and accompanying questionnaire assessment were performed by a group of thoracic and general surgeons. Objective mechanical measurements were obtained. Porcine experiments were also carried out. Results. In a dry laboratory trial, use of the controllable drain required significantly less time than that required by replacing the drain. The average satisfaction score of the new drainage system was 4.07 out of 5, indicating that most of the research participants were satisfied with the quality of the drain with a magnetic actuation. During the porcine experiment, the transfer of the tip of the drain was possible inside the thoracic cavity and abdominal cavity. Conclusion. This controllable thoracic drain could reduce the invasiveness for patients requiring thoracic or abdominal cavity drainage.

scholarly journals Change in Functional Impairment, Disability, and Quality of Life Following Operative Treatment for Degenerative Cervical Myelopathy: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 7 (3_suppl) ◽  
pp. 53S-69S ◽  
Author(s):  
Michael G. Fehlings ◽  
Lindsay A. Tetreault ◽  
Shekar Kurpad ◽  
Darrel S. Brodke ◽  
Jefferson R. Wilson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Operative Treatment ◽  
Functional Impairment ◽  
Cervical Myelopathy ◽  
Surgical Intervention ◽  
Japanese Orthopaedic Association ◽  
Duration Of Symptoms ◽  
Degenerative Cervical Myelopathy ◽  
The Impact

Study Design: Systematic review. Objectives: The primary objective of this systematic review was to define the change in impairment, disability, and pain following surgical intervention in patients with degenerative cervical myelopathy (DCM). Secondary objectives included to assess the impact of preoperative disease severity and duration of symptoms on outcomes and to summarize complications associated with surgery. Methods: A systematic literature search was conducted to identify prospective studies evaluating the effectiveness and safety of operative treatment in patients with DCM. Outcomes of interest were functional status, disability, pain, and complications. The quality of each study was evaluated using the Newcastle-Ottawa Scale, and the strength of the overall body of evidence was rated using guidelines outlined by the Grading of Recommendation Assessment, Development and Evaluation (GRADE) Working Group. Results: Of the 385 retrieved citations, 32 met inclusion criteria and are summarized in this review. Based on our results, pooled standard mean differences showed a large effect for improvement in Japanese Orthopaedic Association or modified Japanese Orthopaedic Association score from baseline at short-, medium-, and long-term follow-up: 6 to 12 months (1.92; 95% confidence interval [CI] = 1.41 to 2.43), 13 to 36 months (1.40; 95% CI = 1.12 to 1.67), and ≥36 months (1.92; 95% CI = 1.14 to 2.69) (moderate evidence). Surgery also resulted in significant improvements in Nurick, Neck Disability Index, and Visual Analogue Scale scores (low to very low evidence). The cumulative incidence of complications was low (14.1%; 95% CI = 10.1% to 18.2%). Conclusion: Surgical intervention for DCM results in significant improvements in functional impairment, disability, and pain and is associated with an acceptably low rate of complications.

EMERGENCY SURGERY DURING COVID 19 AT K.A.P.V GOVERNMENT MEDICAL COLLEGE AND MGMGH , TRICHY

2021 ◽  
pp. 6-9
Author(s):  
Sumathi Ravikumar ◽  
Yeganathan Rajappan ◽  
Durairajan Vaithiyanathan ◽  
Catherine Sindhuja
Keyword(s):  
Surgical Intervention ◽  
District General Hospital ◽  
Favourable Outcome ◽  
Emergency General Surgery ◽  
Emergency Admissions ◽  
Medical College ◽  
Prolonged Duration ◽  
Current Impact ◽  
Emergency Surgical Intervention ◽  
The Impact

COVID 19 pandemic was declared by WHO as public health emergency on January 30,2020. Health system was reorganised with the aim to cope with the new disease and maintain essential health service. Many patients suffered from ARDS which lead to the modication of clinical and surgical activity. Current impact of COVID 19 outbreak on emergency surgical practice is still not developed. Varied presentation, diagnostic uncertainity, lack of guidelines present challenges to surgeons. AIM: The aim of our study was to evaluate the impact of the COVID-19 pandemic on emergency general surgery admissions and operations in our institution METHODS: We conducted a retrospective study in K.A.P.V.G.M.C. and M.G.M.G.H., Trichy from march 2020 to December 2020. All general surgical emergency admissions to KAPVGMC and MGMGH, district general hospital were included from march to December 2020.The details of diagnosis and subsequent management were retrieved from records. CONCLUSION: It was observed thatclinical decisions were made based on urgency of each case while simultaneously evaluating their COVID 19 status. The number of surgicalcases during COVID 19 period were signicantly reduced. Recognising asymptomatic carriers and need of emergency surgical intervention were the challenges faced by the surgeons. Effective communication between microbiologist, radiologist, anaesthetist and surgeon was necessary to attain a favourable outcome. .Inspite of challenges faced 80% had postoperative uneventful period other than prolonged duration of stay and were discharged and followed up. Covid 19 pneumonia and ARDS attributed to majority of death among the 20 % of deceased , other than septicemia

scholarly journals Variability of Pathologists' Utilization of p16 and Ki-67 Immunostaining in the Diagnosis of Cervical Biopsies in Routine Pathology Practice and Its Impact on the Frequencies of Cervical Intraepithelial Neoplasia Diagnoses and Cytohistologic Correlations

2014 ◽  
Vol 138 (1) ◽  
pp. 76-87 ◽  
Author(s):  
Charanjeet Singh ◽  
J. Carlos Manivel ◽  
Alexander M. Truskinovsky ◽  
Kay Savik ◽  
Samy Amirouche ◽  
...  
Keyword(s):  
Cervical Intraepithelial Neoplasia ◽  
Intraepithelial Neoplasia ◽  
Lower Range ◽  
Ki 67 ◽  
Detection Rates ◽  
Cervical Biopsy ◽  
Biopsy Specimens ◽  
Frequency Of Use ◽  
Lower Variability ◽  
The Impact

Context.—The use of p16 in cervical biopsies improves the accuracy of cervical intraepithelial neoplasia (CIN) diagnosis and grading and decreases its interpathologist variability. Objective.—To determine the impact of the frequency of use of p16 immunostains in cervical biopsies on pathologists' diagnoses of CIN grade 1 and grade 2 or above (CIN1 and CIN2+) and on cytohistologic correlations. Design.—We identified all cervical biopsy specimens with cytologic correlations subjected or not to p16 staining from January 1, 2005, to September 30, 2010; calculated each pathologist's percentage of p16 use; and correlated it with their major cytohistologic discrepancy rates, CIN2+ diagnoses, and CIN1/CIN2+ ratios. Results.—During the study period, each of the 23 pathologists interpreted 59 to 1811 (mean, 518) of 11 850 cervical biopsy specimens, used p16 for 0% to 21.31% (mean, 10.14%) of these, had CIN2+ detection rates of 9.5% to 24.1% (mean, 18.9%), and CIN1/CIN2+ ratios of 0.7 to 4.5 (mean, 1.5). Compared to the 12 “low users” of p16, who used p16 fewer times than the institution's mean for p16 use, the 11 “high users” of p16 diagnosed more biopsies (8391 versus 3459), had a lower rate of major cytohistologic discrepancies (12.62% versus 14.92%, P < .001), a higher rate of CIN2+ diagnoses (19.9% versus 16.4%, P < .001), a lower range of CIN2+ rates (15.0%–23.1% versus 9.5%–24.1%), and lower CIN1/CIN2+ ratios (1.2 versus 2.3). Conclusions.—We found a high intrainstitutional variability of p16 use in cervical biopsies, CIN2+ rates, and CIN1/CIN2+ ratios. Use of p16 for greater than 10% of cervical biopsies was associated with improved cytohistologic correlation rates and with lower variability in the frequencies of histologic diagnoses.

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