scholarly journals Dynamics of the system inflammation in staged abdominal repair of general purulent peritonitis

2011 ◽  
Vol 4 (1) ◽  
pp. 40-44
Author(s):  
Yuri Semenovich Vinnik ◽  
Dmitry Eduardovich Zdzitowiecki
Keyword(s):  
Peritoneal Dialysis ◽  
Comparative Analysis ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Systemic Inflammatory Response Syndrome ◽  
Inflammatory Response ◽  
Absolute Risk ◽  
Abdominal Cavity ◽  
Purulent Peritonitis ◽  
Abdominal Repair

This paper is devoted to the influence of constant transmembrane peritoneal dialysis during the systemic inflammatory response syndrome in patients with general purulent peritonitis (GPP). On the basis of comparative analysis of the results of staged surgical treatment of 67 patients with GPP the clinical efficacy of this method of the abdominal cavity was proved. As a result of constant transmembrane peritoneal dialysis has reduced the absolute risk of postoperative complications in the half-open run by BP at 23,0% and a relative on 27,1%

scholarly journals SANITATION OF THE ABDOMINAL CAVITY IN WIDESPREAD PERITONITIS

2020 ◽  
pp. 37-42
Author(s):  
V. N. Lykhman ◽  
A. N. Shevchenko ◽  
A. O. Merkulov ◽  
D. A. Myroshnychenko ◽  
S. V. Tkach ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Postoperative Period ◽  
Absolute Risk ◽  
Multiorgan Failure ◽  
Abdominal Cavity ◽  
Average Degree ◽  
Average Weight ◽  
Results Of Treatment ◽  
Dialysis Solution ◽  
Purulent Peritonitis

Summary. Purpose. Study of the effectiveness of permanent transmembrane peritoneal dialysis in “semi-closed” management of the abdominal cavity (BP) in patients with advanced purulent peritonitis (APP). Materials and methods. The results of treatment of 63 patients with APP with “semi-closed” administration in the abdominal cavity (BP) were analyzed. Depending on the features of BP drainage, patients with RGP were divided into two groups: comparison group (CG) — 31 patients who used traditional methods of abdominal drainage and the main group (MG) — 32 patients who underwent permanent peritoneal surgery in the postoperative period. dialysis through an artificial semipermeable membrane. Results and discussion. A study of the relationship between the levels of molecules of average weight in spent dialysis solution with the severity of multiorgan failure (MF) on the SOFA scale using Spearman’s correlation analysis revealed an average degree of correlation: 1 day after surgery - r = 0.63 (p = 0.01), for 3 days — r = 0.75 (p = 0.001). The average degree of correlation between these indicators can be explained by the fact that in addition to endotoxicosis, the severity of MF in the next day after surgery also affects surgery. This is also confirmed by the increase in the correlation coefficient by 3 days, when the degree of influence of the operating aid on the severity of MF decreases. The postoperative period was complicated in 14 (22.2 ± 5.2 %) patients with APP: in CG in 10 (32.3 ± 8.4 %) cases in MG - in 4 (12.5 ± 5.8 %) p = 0.059). Mortality of patients with APP at “semi-closed” management of an abdominal cavity made 19,0 ± 4,9 %: in MG — (25,8 ± 7,9) %, in MG — (12,5 ± 5,8) % (p = 0,179). Conclusions. The proposed method of peritoneal dialysis reduced the absolute risk of postoperative complications in patients with advanced purulent peritonitis by 19.8 %.

Comparative evaluation of the results of simultaneous and two-stage surgical treatment of patients with advanced proliferative diabetic retinopathy and complicated incipient cataract.

2021 ◽  
pp. 38-42
Author(s):  
K.I. Konovalova ◽  
◽  
M.M. Shishkin ◽  
Keyword(s):  
Diabetic Retinopathy ◽  
Comparative Analysis ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Comparative Evaluation ◽  
Vitreoretinal Surgery ◽  
Treatment Procedure ◽  
Two Stage ◽  
Iol Implantation ◽  
Gas Tamponade

Aim. Undertake a comparative analysis of the results two-stage or simultaneously vitreoretinal surgery with phacoemulsification of PDR patients. Material and methods. 52 cases of surgery treatment of patients with PDR and complicated primary cataract were analyzed. These patients were divided into three groups. In the 1st group patients were subjected to a two–step surgical procedure: vitreoretinal surgery with gas tamponade performed as the 1st step in their treatment; followed by the 2d step, phacoemulsification surgery and the IOL implantation. In the 2d group phacoemulsification performed simultaneously with vitreoretinal surgery: phacoemulsification, IOL implantation, vitreoretinal surgery with gas tamponade. Results. Outcomes of the preliminary studies suggest that it is more viable to perform phacoemulsification surgery sometime later along on PDR patients with complicated primary cataract. Conclusions. This sequence of treatment procedure ensures a more gentle approach to the anatomic structures of the eye during the first stage (vitreoretinal surgery) and contributes to the reduction in the number of intraoperative and postoperative complications. Key words: diabetic retinopathy, cataract, vitreoretinal surgery.

scholarly journals Systemic Inflammatory Response Syndrome and Postoperative Complications after Orthognathic Surgery

2009 ◽  
Vol 50 (1) ◽  
pp. 41-50 ◽  
Author(s):  
Kiyohiro Kasahara ◽  
Yasutomo Yajima ◽  
Chihaya Ikeda ◽  
Isao Kamiyama ◽  
Takashi Takaki ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Systemic Inflammatory Response Syndrome ◽  
Inflammatory Response ◽  
Orthognathic Surgery ◽  
Systemic Inflammatory Response

scholarly journals Treatment Tactics and Complications After Surgical Treatment of HIV-Infected Patients With Extra-Articular Fractures of the Long Bones of Extremities

2020 ◽  
Vol 9 (3) ◽  
pp. 369-376
Author(s):  
N. G. Doronin ◽  
S. N. Khoroshkov ◽  
M. V. Naumenko
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Aseptic Loosening ◽  
Infectious Complications ◽  
Long Term Results ◽  
Long Bones ◽  
Results Of Treatment ◽  
Articular Fractures ◽  
Fracture Consolidation

The aim of the study is the comparative analysis of the long-term results of treatment of extra-articular fractures of the long bones in HIV-infected and non-HIV-infected patients.Material and methods. In the presented study, a comparative analysis of the results of surgical treatment of 90 HIV-infected and 112 HIV-uninfected patients with extra-articular fractures of the long bones of the extremities aged from 23 to 54 years was performed.Results. HIV-infected patients are mainly characterized by non-infectious complications from the postoperative wound (formation of seromas, hematomas, dehiscence of the edges of wounds, delayed healing), aseptic loosening and migration of fixators, and delayed consolidation of fractures. The presence of statistically significant relationships between the factors characterizing the course of HIV infection (stage of the disease, the number of CD4 + lymphocytes, the ratio of CD4/CD8 + lymphocytes, viral load) and the risk of postoperative complications was revealed.Conclusion. Thus, the use of standard algorithms for determining the tactics and method of treatment of extra-articular fractures of the long bones of the extremities in HIV-infected patients leads to a significant number of unsatisfactory treatment results (up to 31.1%). For HIV-infected patients, the most typical complications are postoperative wounds, impaired fracture consolidation processes and aseptic loosening of metal fixators, which can lead to the development of infectious complications without proper attention. Expansion of research in this area with an increase in the number of observed contingents will make it possible to develop a scientifically based scale for predicting the development of possible postoperative complications in this category of patients.

scholarly journals The role of bacteriophages in the complex treatment of peritonitis of appendicular origin (experimental study)

2017 ◽  
Vol 10 (4) ◽  
pp. 265-268
Author(s):  
Evgeny Mikhailovich Mokhov ◽  
Artem Mikhailovich Morozov ◽  
Victor Alekseevich Kadykov ◽  
Elshad Magomedovich Askerov ◽  
Nina Evgenievna Serova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Acute Appendicitis ◽  
Intraperitoneal Injection ◽  
Abdominal Cavity ◽  
Experimental Studies ◽  
Morphological Data ◽  
White Rats ◽  
Single Intraperitoneal Injection ◽  
Significant Difference

Relevance: with the management of laparoscopic methods of surgical treatment of acute appendicitis, the problem of the occurrence of early postoperative complications has not changed at present, which makes it necessary to carry out preventive measures. Objective: to study the possibility of improving the results of surgical treatment of peritonitis, the most frequent complication of acute appendicitis, by reducing the number of postoperative complications of infectious genesis. Methods: Studies were performed on 47 non-linear white rats weighing 200-250 grams by modelling peritonitis using the biological model as an example, followed by antibiotic therapy and combination therapy using bacteriophages. To model peritonitis, the infection of the abdominal cavity with the E. coli strain 25922 was used. The laboratory animals were divided into 3 groups: the first group was control group, the second group received treatment in the form of a single intraperitoneal injection of Cefipime, the third group received treatment as a single intraperitoneal injection of the Sextapage. Results: the evaluation of the methods was carried out on the basis of the study of the clinical picture of the course of peritonitis in experimental animals, the data of pathomorphological and histological examination of the sectional peritoneum. As a result of experimental studies, there was no significant difference in the methods of perioperative prevention of complications of acute appendicitis, which makes it possible to perform monotherapy with bacteriophages. Phages in comparison with antibiotics have no less therapeutic efficacy. Conclusions: Thus, our experimental studies revealed completely satisfactory results of monotherapy of experimental peritonitis with a bacteriophage. According to the morphological data, the inflammatory process in the abdominal cavity is stopped by the phage fast enough and there is a tendency for a faster fading of the inflammation than in the treatment with antibiotics.

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