Asunto(s)
Ampolla Hepatopancreática/cirugía , Colecistitis/complicaciones , Coledocostomía/métodos , Colelitiasis/complicaciones , Colestasis Extrahepática/cirugía , Duodenostomía/métodos , Enterostomía/métodos , Cálculos Biliares/cirugía , Adulto , Anciano , Colecistectomía , Colecistitis/cirugía , Colecistostomía , Colelitiasis/cirugía , Colestasis Extrahepática/etiología , Femenino , Cálculos Biliares/etiología , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Selective proximal vagotomy (SPV) was performed in 658 patients. Recurrent ulcer was revealed in 6.2% of them. A classification of recurrent peptic ulcer is proposed. An operation was carried out for a second time in 65 patients. Correct techniques of SPV, excision of the ulcer, and stomach draining operations with consideration for the functional condition of the duodenum during the first operation are conducive to marked decrease in recurrences of the ulcerative process.
Asunto(s)
Úlcera Péptica , Vagotomía Gástrica Proximal , Humanos , Úlcera Péptica/diagnóstico , Úlcera Péptica/cirugía , Recurrencia , ReoperaciónAsunto(s)
Úlcera Duodenal/cirugía , Vaciamiento Gástrico , Estómago/cirugía , Vagotomía/métodos , Adulto , Humanos , Métodos , Persona de Mediana EdadRESUMEN
The authors present data on 406 patients with ulcer disease subjected to vagotomy. The indications for the operation were as follows: stenosis of the pylorus in 118 patients (3 patients died); perforation in 45 patients (one patient died); chronic ulcer disease in 198 patients (one patient died); hemorrhage in 47 patients (5 patients died). Thus, lethality was mainly associated with complicated forms of the ulcer disease, with hemorrhage in particular in elderly and senile patients with concomitant diseases. Further improvement of the vagotomy technique, good skill of the surgeon and exact indications for the operation will result in better outcomes of the operation.
Asunto(s)
Úlcera Duodenal/cirugía , Gastrectomía , Vagotomía Gástrica Proximal , Vagotomía , Adulto , Anciano , Úlcera Duodenal/complicaciones , Duodeno/cirugía , Humanos , Persona de Mediana Edad , Úlcera Péptica Hemorrágica/cirugía , Úlcera Péptica Perforada/cirugía , Complicaciones PosoperatoriasAsunto(s)
Enfermedades del Ciego/diagnóstico , Celulitis (Flemón)/diagnóstico , Enfermedades del Íleon/diagnóstico , Apendicitis/diagnóstico , Enfermedades del Ciego/cirugía , Celulitis (Flemón)/cirugía , Diagnóstico Diferencial , Femenino , Humanos , Enfermedades del Íleon/cirugía , Obstrucción Intestinal/diagnóstico , Masculino , Persona de Mediana EdadAsunto(s)
Neoplasias de la Vesícula Biliar/cirugía , Adulto , Anciano , Humanos , Persona de Mediana EdadAsunto(s)
Apendicitis/diagnóstico , Epiplón , Peritonitis/diagnóstico , Enfermedad Aguda , Adulto , Anciano , Diagnóstico Diferencial , Femenino , Humanos , MasculinoAsunto(s)
Abdomen Agudo/cirugía , Abdomen Agudo/epidemiología , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Tiempo , U.R.S.S.RESUMEN
To combat gastroplegia following vagotomy the authors recommend to perform open novocain blockade of the solar plexus by means of a microcatheter, inserted in the round ligament of the liver. The application of the blockade enabled the authors to manage the postoperative period without a sound, to reduce fluids and electrolytes loss by the organism and to minimize the use of anesthetics.