Khirurgiia
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The article analyses ultrasonic symptomatology of textile foreign bodies which were left in the abdominal cavity and retroperitoneal space during surgical interventions in 10 cases. An intensive distal acoustic shadow behind a space-occupying echogenic structure in the main sign of a foreign body. ⋯ It is shown that the picture depends on the degree of the exudative reaction. The authors claim ultrasonic examination to be an effective method for detecting foreign bodies and determining their exact localization.
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In the period from 1977 to 1987, after 13,306 operations carried out on the abdominal organs in the clinic, intra-abdominal hemorrhages occurred in 34 (0.25%) patients which had to de managed by emergency relaparotomy. From analysis of case records (28 taken from the archives and 6 of patients who were under observation) of the relationship between the large number (195) of signs represented by a block of clinico-laboratory and radiological data, an integral diagnostic criterion of intra-abdominal hemorrhages was obtained. ⋯ Its practical application comes to recognition of intra-abdominal hemorrhage by identifying the symptoms and syndromes found in the patient with this early postoperative complication with the symptoms and syndromes composing the integral criterion. A revealed integral diagnostic criterion is a concrete indication for undertaking emergency relaparotomy.