Small and large intestines' injuries in the structure of the abdominal traumas make 6-25% according to various studies. The surgeons have a difficult task of carrying the medical aid for this type of patients because there is still no the common classification and treating tactics for the cure of small and large intestines' injuries. We observed cases of 167 patients with small and large intestines' injuries treated in RRCEM (Republican Research Centre of Emergency Medicine, Uzbekistan, Tashkent) from 2001 till 2009. According to the type of the traumas the patients were classified as following: penetrating cut-stab wounds - 115 (68.6%), closed abdominal injury - 50 (30%) and gunshot wounds in 2 (1.4%) cases. 70% of the patients with this pathology were admitted in the shock condition. The different complications were noted in 50 (30%) patients after the operation. The hardest group of complications is intestine sutures' failure: in 4 cases it was intestine sutures' failure and 3 patients had the failure of anastomosis sutures. Large and small intestine injuries' complications led to lethal result for 4(2%) patients.
The clinic, laboratorial, intraoperative, and morphologic findings of 482 patients with acute gangrenous cholecystitis have been studied. There were 162 men (33.6%) and 320 (67.4%) women at the age of 15-91 years, with average 55.3±6.5 years old. 218 patients were operated by laparoscopic method, traditional access was provided in 264 patients. Conversion was performed in 17 from 218 cases (7.8%). Postoperative complications made 8.3% and 13.6% in both groups respectively. Intraoperative complication during laparoscopic cholecystectomy (common bile duct injury) occurred in 1 (0.46%) patient operated at the fifth day since the commencement of disease. Conversions and complications reduction was provided by the offered technical improvements of laparoscopic cholecystectomy such as a change of the points of trocars injection, using the modified instruments for the tissues dissection, gallbladder mobilization and hemostasis.
- MeSH
- akutní cholecystitida * chirurgie komplikace patofyziologie MeSH
- chirurgie operační metody MeSH
- cholecystektomie laparoskopická * metody využití MeSH
- dospělí MeSH
- endoskopie využití MeSH
- gangréna * etiologie chirurgie komplikace patofyziologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- peroperační komplikace MeSH
- pooperační komplikace MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
