UNPREMEDITATED INJURIES OF THE BILE DUCTS AND SYSTEMATED APPROACH TO THEIR ELIMINATION
| Autor: | Andrey S. Pryadko, E S Zherebcov, Nicolay A. Maistrenko, Pavel N. Romashchenko, Arsen K. Aliev |
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| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Bulletin of the Russian Military Medical Academy. 21:50-54 |
| ISSN: | 2687-1424 1682-7392 |
| DOI: | 10.17816/brmma13042 |
| Popis: | Purpose of the study: To present the program of diagnosis and treatment of patients with injuries of the bile ducts, corresponding to modern requirements of medical care. Materials and methods: The results of examination and treatment of 77 patients with bile ducts injuries (BDI) are analyzed. The analysis of the main surgical interventions for the elimination of BDI is given: reconstructive operations in 44.3% of patients, recovery operations - in 36.7% and external drainage - in 19%. Results: A program approach was developed to provide care to patients with BDI. The implementation of this program will provide timely diagnostics of BDI and minimize the number of postoperative complications. A rational approach to reducing the number of injuries is the prevention and prevention of the occurrence of BDI. Conclusion:The choice of a rational option for surgical intervention, taking into account modern classification positions that take into account the integral assessment of the leading criteria: the patient’s general somatic condition, the presence of infectious purulent complications, the scale of damage, the diameter of the crossed main bile duct, the damage mechanism (thermal or mechanical), makes it possible to justify the choice of a rational surgical option interventions and significantly reduce the number of complications, mortality and improve the quality of life of patients with BDI. |
| Databáze: | OpenAIRE |
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