DSpace Общество:http://ir.librarynmu.com/handle/123456789/186862026-04-09T23:43:22Z2026-04-09T23:43:22ZGeneral Surgery №1 (8) 2024http://ir.librarynmu.com/handle/123456789/187522026-03-20T12:22:06Z2024-01-01T00:00:00ZНазвание: General Surgery №1 (8) 20242024-01-01T00:00:00ZNutritional support in patients with acute pancreatitis. Review of published studiesKolosovуch, I.Hanol, I.http://ir.librarynmu.com/handle/123456789/187512026-03-20T12:19:06Z2024-01-01T00:00:00ZНазвание: Nutritional support in patients with acute pancreatitis. Review of published studies
Авторы: Kolosovуch, I.; Hanol, I.
Краткий осмотр (реферат): Acute pancreatitis is a common disease that occurs in 5 — 10 % of patients with urgent pathology of the abdominal cavity. The most prevalent metabolic disorders affecting this group of patients are hypermetabolism and hypercatabolism syndromes, which are accompanied by excessive consumption of carbohydrates, fats, and amino acids, increased oxygen intake, and carbon dioxide production.2024-01-01T00:00:00ZA clinical case of surgical treatment of appendiceal stump abscessStetsenko, O.Tsiura, Y.Kindzer, S.Kryvopustov, M.Prykhodko, Y.http://ir.librarynmu.com/handle/123456789/187502026-03-20T12:16:04Z2024-01-01T00:00:00ZНазвание: A clinical case of surgical treatment of appendiceal stump abscess
Авторы: Stetsenko, O.; Tsiura, Y.; Kindzer, S.; Kryvopustov, M.; Prykhodko, Y.
Краткий осмотр (реферат): In Ukraine, the share of patients with acute appendicitis is 89.1 % of the total number of patients with acute surgical pathology. In modern surgical practice, early and late complications occupy the first place in the structure of acute surgical diseases of the abdominal organs, regardless of the age and gender of the patients, and the postoperative mortality is on average 0.15 %. In the remote period after an appendectomy, despite the progress of modern surgery, a very rare complication known as inflammation of the stump of the appendix can occur. The patient, 25 years old, turned to the department of purulent surgery with complaints of a «small wound» at the site of the postoperative scar in the right inguinal area and minor purulent discharge from it. Four months ago, in July, he was operated on for acute phlegmonous appendicitis. On November 1, after physical exertion, the wound reappeared, and on November 3, the patient independently sought a consultation at the reception department of the Clinical City Hospital No. 3. He was examined by a surgeon and hospitalized. During the revision of the wound, a tumor-like formation measuring 2.5 x 3.0 x 2.5 cm, as well as the parietal peritoneum, was revealed. Appendectomy was performed by the method of pouch ligation with drainage of the abdominal cavity through a separate contraperture with polyvinyl chloride drainage. After the operation, a diagnosis was established: abscess of the stump of the appendix, and external fistula of the anterior abdominal wall. The postoperative wound healed with primary tension, and the sutures were removed. The diagnosis of appendicitis may be mistakenly excluded from the clinical search due to the presence of a postoperative scar after appendectomy. A clear clinical picture of acute appendicitis or the opening of a fistula at the site of a postoperative scar in the right iliac region indicates the need for a computer tomography of the abdominal organs with contrast to establish an accurate diagnosis and choose the correct treatment tactics. The only treatment for inflammation of the appendiceal stump is a complete appendectomy with appendix removal either by open or laparoscopic surgery, which should be performed urgently to avoid further complications.2024-01-01T00:00:00ZSingle-stage laparoscopic treatment of a cholecystoduodenal fistula with perforated small bowel ileus and fibrinous purulent peritonitis. A single case studyDemtröder, C.Murnik, M.Kirchmeyer, P.Giger-Pabst, U.Dajchin, D.http://ir.librarynmu.com/handle/123456789/187492026-03-20T12:12:55Z2024-01-01T00:00:00ZНазвание: Single-stage laparoscopic treatment of a cholecystoduodenal fistula with perforated small bowel ileus and fibrinous purulent peritonitis. A single case study
Авторы: Demtröder, C.; Murnik, M.; Kirchmeyer, P.; Giger-Pabst, U.; Dajchin, D.
Краткий осмотр (реферат): Gallstone ileus is a rare complication of recurrent cholecystitis and one of the rarest causes of mechanical bowel obstruction, with an increasing incidence in the elderly. We present a case of multiple small bowel perforations of the jejunum due to gallstone obstruction and the incidental finding of high-grade appendiceal mucinous neoplasia of the appendix. To our knowledge, this is the first such case to be described and completely resolved by a laparoscopic approach.2024-01-01T00:00:00Z