RESUMEN
Original method of treatment of complicated pyloroduodenal ulcers is proposed. The results of different organ-saving operations in complicated pyloroduodenal ulcers were analyzed in 136 patients aged from 15 to 89 years. Evaluation of the results was based on the data obtained during study of secretory and motor-evacuatory function of the stomach, state of gastric and duodenal mucous membrane, degree of duodenogastric reflux. Gastroscopy in remote period after organ-saving operations enabled visual evaluation of state of anew formed pyloric canal. Results of treatment of complicated pyloroduodenal ulcers by different methods of pyloroplasty demonstrate the advantages of valvular pyloroplasty.
Asunto(s)
Úlcera Duodenal/cirugía , Píloro/cirugía , Úlcera Gástrica/cirugía , Adolescente , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Femenino , Estudios de Seguimiento , Gastroscopía , Humanos , Masculino , Persona de Mediana Edad , Factores Sexuales , Factores de TiempoRESUMEN
Investigation of microflora in patients with complicated acute cholecystitis treated with low frequency ultrasound in combination with sulfacrylate glue showed that Staphylococcus and Escherichia played the leading role in the complication etiology. Among the nonsporulating organisms bacteroides predominated. The combined use of low frequency ultrasound and sulfacrylate glue in treatment of complicated acute cholecystitis proved to be an efficient procedure providing more rapid sanation of the purulent inflammation foci.
Asunto(s)
Resinas Acrílicas/uso terapéutico , Colecistectomía/métodos , Colecistitis/microbiología , Infecciones por Escherichia coli/microbiología , Vesícula Biliar/microbiología , Infecciones Estafilocócicas/microbiología , Adhesivos Tisulares/uso terapéutico , Terapia por Ultrasonido , Enfermedad Aguda , Adulto , Colecistitis/cirugía , Recuento de Colonia Microbiana , Escherichia coli/aislamiento & purificación , Infecciones por Escherichia coli/cirugía , Femenino , Vesícula Biliar/cirugía , Humanos , Cuidados Intraoperatorios , Masculino , Persona de Mediana Edad , Infecciones Estafilocócicas/cirugía , Staphylococcus/aislamiento & purificaciónAsunto(s)
Páncreas/lesiones , Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Páncreas/cirugía , Heridas no Penetrantes/cirugíaAsunto(s)
Fibroma/complicaciones , Hemorragia Gastrointestinal/etiología , Neoplasias Intestinales/complicaciones , Intestino Delgado , Leiomioma/complicaciones , Leiomiosarcoma/complicaciones , Estudios de Evaluación como Asunto , Femenino , Fibroma/diagnóstico , Fibroma/cirugía , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/cirugía , Humanos , Neoplasias Intestinales/diagnóstico , Neoplasias Intestinales/cirugía , Leiomioma/diagnóstico , Leiomioma/cirugía , Leiomiosarcoma/diagnóstico , Leiomiosarcoma/cirugía , Persona de Mediana EdadRESUMEN
The dynamics of staphylococci sensitivity to antibiotics in purulent foci of 242 in patients was studied. Two criteria were used for estimation of the above process, i.e. (I) sensitivity to the antibiotics of the whole staphylococcal population isolated and (2) sensitivity to the antibiotics of separate strains isolated from the population. In 10 or more days the number of the in-patients with staphylococci resistant to streptomycin, monomycin or oxacillin in the purulent foci increased. The number of the in-patients with penicillin, neomycin or chloramphenicol resistant staphylocci was statistically doubtful. The average number of the antibiotic resistant microbial cells in the staphylococcal populations of the foci in the patients during their stay in the hospital increased 2-4 times.