RESUMEN
The authors have experience in organ-preserving operations for spleen rupture with the splenic artery ligation in 156 casualties. They consider that such operations let to preserve the spleen, to avoid the postoperative rebleeding and ischemia of pancreas tail and body. Also it is accompanied by the low indications of lethality and postoperative complications. The authors consider that this operation is alternative to splenectomy and other techniques of organ-preserving operations in case of spleen trauma.
Asunto(s)
Traumatismos Abdominales/cirugía , Bazo/lesiones , Arteria Esplénica/cirugía , Heridas no Penetrantes/cirugía , Traumatismos Abdominales/diagnóstico , Adulto , Femenino , Estudios de Seguimiento , Humanos , Ligadura/métodos , Angiografía por Resonancia Magnética , Masculino , Estudios Retrospectivos , Bazo/irrigación sanguínea , Bazo/cirugía , Arteria Esplénica/lesiones , Procedimientos Quirúrgicos Vasculares/métodos , Heridas no Penetrantes/diagnóstico , Adulto JovenRESUMEN
Sepsis is one of the most urgent problems of modern surgery as a steady tendency for the number of patients and mortality rates to increase. Sepsis is the syndrome of a systemic inflammatory response to the invasion of microorganisms. Abdominal sepsis (AS) is inherently a systemic inflammatory response to a focal of infection in the abdomen or retroperitoneal space. Implementation of an individual program for intensive care and anesthetic support is also the same important component of the program for AS treatment as surgery. Intensive care for AS is based on the objective evaluation of the patients' condition, which makes it possible not only to determine the severity of the disease and the degree of organ dysfunction, but also to choose the most adequate intensive care program in terms of a specific clinical situation. The reasonable use of currently available intensive care means and methods substantially reduce mortality rates in patients with AS.