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Prevention of postoperative complications after a transoral transclival approach to basilar aneurysms. Technical note.

The authors describe the techniques employed in three patients with basilar artery aneurysms that were treated via the transoral transclival approach. To prevent the formation of cerebrospinal fluid fistulas and the risk of consequent meningitis, complete postoperative closure of the nasopharyngeal mucosa is essential. Long-term nasopharyngeal packing and continuous spinal drainage were found to be effective in these cases.

Adult↗

[The prognosis of postoperative complications in patients with bile duct obstruction of a nontumorous origin].

The computer analysis of treatment results of 113 patients with biliary ducts nonneoplastic impassibility was conducted. One instrumental and five clinico-laboratory mostly informative prognosing features were picked out concerning the origin of septic-purulent complications. Discriminant analysis method application permitted to prognosticate the complications in 76% of observations and elaborate the tactics of patients treatment.

Cholestasis↗

[Postoperative complications in occlusive colonic ileus of tumor origin].

Out of a total of 232 patients with obturation colonic ileus subjected to operation, in 79 cases (34.05 per cent) various types of complications are observed, distributed in four groups as follows: group one--on behalf of the organ operated on (colon and rectum), group two--peritoneal cavity and abdominal organs, group three--organs and systems outside the abdominal cavity, and group four--operative wound. In this respect bronchopulmonary complications, would infections and paralytic ileus play a major role.

Bulgaria↗