[Anastomositis after gastric resection and its treatment].
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Biomedical subjects
Publications and source records attributed to V A Shaprinskiĭ.
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Results of 2652 operative interventions made to the patients with diseases of hepato-pancreatoduodenal zone organs were analysed. In 2.7% of patients relaparotomy was conducted. The abdominal cavity abscess and peritonitis (56.1% of observations) were the most frequent cause of repeated intervention. Lethality was 17.8% and formed the greatest one in peritonitis and intraabdominal hemorrhage.
The results of 123 relaparotomies conducted for the postoperative peritonitis after an urgent and planned operations on the abdominal cavity organs were analyzed. Clinical manifestations, the effectiveness of an early diagnostics methods, methods of mathematical prognosis and treatment, and also the immunological disorders occurring in postoperative peritonitis were studied. The mortality rate was 36.5%.
In connection with the development of intraabdominal complications, 71 (4.3%) patients underwent relaparotomy. Peritonitis and intraabdominal abscess were the most frequent causes (61.9% of cases) of the repeated intervention. Lethality was 29.5%.
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A result of 70 relaparotomies performed after the operative intervention for acute appendicitis has been analysed. The causes and indications for reoperation, an outcome, nature of complications which required performance of relaparotomy have been considered. A classification of relaparotomies depending on time of their performance is suggested.
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The analysis of the results of surgical treatment of 223 patients with complicated forms of acute cholecystitis was carried out. Resulting from complex examination, the correct preoperative diagnosis was established in 93% of patients, in 7%--the character of complications was revealed at operation. Surgical treatment was aimed at adequate correction of all the complications revealed.
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