VIDEO-LAPAROSCOPIC INTERVENTIONS IN DIAGNOSTICS AND TREATMENT OF TORSION AND NECROSIS OF APPENDICES EPIPLOICA

Autor: M. E. Timofeev, E. D. Fedorov, A. P. Krechetova, S. G. Shapovalyants
Jazyk: ruština
Rok vydání: 2018
Předmět:
Zdroj: Вестник хирургии имени И.И. Грекова, Vol 172, Iss 6, Pp 034-040 (2018)
Druh dokumentu: article
ISSN: 0042-4625
DOI: 10.24884/0042-4625-2013-172-6-034-040
Popis: A retrospective analysis of treatment of 82 patients with torsion and necrosis of appendices epiploica was made. The video-laparoscopic surgery of these patients was performed. When the diagnosis is unclear, the differential diagnostics should be made between the appendices epiploica disease and other abdominal diseases using the video-laparoscopy. This method allowed the establishment of the correct diagnosis of torsion and necrosis of appendices epiploica in 95,1% of patients. The laparoscopic treatment was made in 87,8% of cases with minimal quantity of postoperative complications. The video-laparoscopy allowed the detection of accompanying pathology of abdominal organs and performance of the correction by low-invasive method. The need of conversion occurred in 12,2% of patients. Postoperative period was characterized by uneventful recovery, minimal usage of analgesics and antibiotics, early stages of rehabilitation, perfect cosmetic effect in majority of patients.
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