Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukraïny, Naukove tovarystvo khirurhiv Ukraïny
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Comparative analysis of a pain syndrome severity was done, using a visual analogous scale (VAS), basing on the analysis of performance of various kinds of laparoscopic prosthesis inserting hernioplasty for inguinal hernia, using intraabdominal (intraperitoneal onlay mesh - IPOM) and preperitoneal (transabdominal preperitoneal - TAPP) with establishment of light nets. A pain severity is trustworthy lesser in the IPOM method application--5 and 17.5 points, accordingly. ⋯ The stationary postoperative state duration after the IPOM procedure was a twice lesser--1.12 and 2.8 days, accordingly. Laparoscopic prosthesis inserting intraabdominal hernioplasty, according to the IPOM method, may constitute the operation of choice, performed for inguinal hernia.
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The investigations, concerning detection of the hemostasis system activation, were done in 26 patients, suffering various critical morbid states (an acute pancreatitis). The contents of products of the enzymes lysis of coagulation system and fibrinolytic system constitute one of the most precise indices. ⋯ In the patients examined a trustworthy increase of a D-dimer and FpA contents was registered, witnessing the hemostasis system activation in an acute pancreatitis as well as an excessive formation and lysis of fibrin. D-dimer and FpA contents in a plasma constitutes an important diagnostic index, its determination secures the possibility of early diagnosis and control of a hemostasis system disorders.
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There was analyzed the experience of diagnosis and surgical treatment of 61 patients, aged from 2 to 69 years old, including 43 (70.5%) men and 18 (29.5%) women, in whom after a tracheal intubation with durable pulmonary ventilation, performed for an acute respiratory insufficiency, a tracheal stenosis have had occurred. A tracheal stenosis was manifested by a stridorous kind of respiration, the diagnosis was confirmed by the endoscopic investigation and a computer tomography data. Conservative and endoscopic treatment was effective in 10 (16.4%) patients, operative intervention--circular resection with a primary tracheal anastomosis formation and a staged treatment with tracheostomy and a T-kind silicone tube insertion--was performed in 51 (83.6%) patients. Good and fair results were achieved in 70% of the patients.
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The experience of meropenem (Mepenam, manufactured by Corporation ARTERIUM, Ukraine) application as empirical therapy in severe intraabdominal infections was presented. The diseases outcome and the preparation efficacy were estimated, recommendations concerning its application in the treatment of severe intraabdominal infections were done.