Khirurgiia
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64 patients with abdominal sepsis were included in the study of the intraabdominal pressure changes before and after the operation. The study demonstrated that the use of the crystalloids alone leads to the development of the capillary leak syndrome in comparison with the therapy regimen using colloids. The aggressive fluid resuscitation, associated with high numbers of central venous pressure, increasing 1177Pa (120 mm H2O), was connected with the increase of the intraabdominal pressure.
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The efficacy, safety and expediency of various types of the induction anesthesia before the long-lasting major surgery were analyzed. The combination of inhalation of sevoflurane in maximal concentration with phentanil allowed the effective and safe induction and trachea intubation on the 3-4th minute on the background of the nimbex myoplegia. The monoinduction with sevoflurane provides the sufficient analgesia not earlier then after 7-9th minute, which allows the safe intubation at a time. Therefore, the study proved, that the inhalation induction with sevoflurane in various modifications, could be the standard method of inductive anesthesia.
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The 10-year experience of treatment of closed isolated and combined abdominal trauma and renal injury included data of 117 cases. The diagnose was made basing on the clinical analysis, ultrasound investigation and computed tomography. 61 patients were operated on, though only 6 of them on the reason of the renal injury. ⋯ Authors worked out the indications for the visual intraoperative kidney revision, if the severity of the injury had been not assessed before. Nevertheless, the conservative therapy proved to be effective in 98.2% of patients with kidney trauma stage I-IV.
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The experience of 127 hernioplastics for postoperative ventral hernia using different methods during the period of 2000-2010 yy was analyzed. The algorithm for incisional ventral hernia has been worked out, considering the presence of recurrence risk factors and biochemical parameters. The results of treatment of 18 patients, using the algorithm, showed no local and general postoperative complications, which allowed to consider it as the evidence of algorythm's effectiveness.