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[Intestinal obstruction caused by transitional carcinoma].

OBJECTIVES: To draw attention to the possibility that distant intestinal metastasis can arise from transitional urothelial carcinoma located in the bladder. METHODS: Two female patients developed distant metastasis during treatment of the tumor by transurethral resection of the bladder. RESULTS: Following complicated transurethral resection with perforation of the peritoneal cavity, the patients developed intestinal obstruction from metastatic transitional cell carcinoma. CONCLUSIONS: Direct or distant seeding of tumor cells on previously undamaged peritoneal serosa produced with the resectoscope may not be exceedingly unlikely.

Aged↗

[Ways of raising efficacy of nasointestinal drainage in patients with intestinal obstruction and general peritonitis].

Expediency of programmed nasointestinal decompression with gastrointestinal aspirator GOMCO (USA) in patients with intestinal obstruction and general peritonitis in parameters 90 and 120 mm Hg was substantiated. If introduction of the gastric tube into the jejunum is impossible (in patients with adhesive obliteration of higher part of abdominal cavity, severe deformation or obstruction of pyloroduodenal canal) but in absolute indications for long-term intestinal drainage it is expediently to perform extraduodenal intubation of the small intestine by means of creation of posterior minigastrojejunoanastomosis on short loop behind colon.

Anastomosis, Surgical↗

[Adhesive intestinal obstruction in the light of immediate and late results].

The immediate and late results of surgery for adhesive intestinal obstruction were followed up in 235 patients. For prophylaxis of intestinal hypodynamia it is recommended to inject 0.25% novocain solution intraabdominally in the postoperative period. It is found that such kind of injections prevent peritoneal adhesions. Intraperitoneal injections of 0.25% novocain solution yield favourable and satisfactory results in 86.3% of cases, while without using novocain good and satisfactory results were noted only in 49.1%.

Adolescent↗