Actual issues of diagnostics and treatment of intestinal obstruction caused by combined treatment in patients with malignant new formation of abdominal cavity argans and the course of oncological disease
DOI:
https://doi.org/10.11603/2414-4533.2015.4.5605Abstract
Over the period 2010–2014, at the Department of General Surgery №2 of National Medical University named after O. O. Bohomolets – Kyiv City Clinical Hospital №3 were examined and treated 17 patients with symptoms of intestinal obstruction of various origins, which had previously been carried out combination therapy for cancer pathology of the abdominal cavity. 5 patients had decompensated bowel obstruction phenomenon that eliminate conservative methods failed. This led to conduct urgent surgeries, was diagnosed abdominal adhesive disease, they were satisfied viscerolisis nasogastrointestinal followed by incubation of the intestine. Mortality in this group was absent. In 12 patients, on the background of the effectiveness of the treatment of conservative measures, surgical interventions were carried out in a period of 3 to 5 days. Among this group of patients was performed in 3 patients imposition of bypasses, 7 patients ileostomy was performed, and in 2 cases monosigmoidostomy. Mortality in this group was 2 (12 %) patients. The method of choice of surgical tactics in patients with abdominal carcinomatosis is a palliative intervention, improving the quality of life of patients with this severe category.References
Бондарев В. И. Комплексное хирургическое лечение острой спаечной непроходимости кишечника / В. И. Бондарев, Р. В. Бондарев, А. А. Орехов // Харківська хірургічна школа. – 2009. – № 2.2 (34). – С. 133–136.
Бюлетень національного канцер-реєстру України (2015). – К., 2015. – Вид. № 16.
Гобеджишвили В. К. Прогнозирование и профилактика развития спаечного процесса у больных, оперированных на органах брюшной полости / В. К. Гобеджишвили, М. П. Лаврешин, Р. К. Гезгиева // Анналы хирургии. – 2006. – № 3. – С. 42–45.
Гордійчук П. І. Кишкова непрохідність пухлинного генезу як проблема невідкладної хірургії (патогенез, діагностика, клініка, лікування, хірургічна реабілітація : автореф. дис.. на здобуття наукового ступеня доктора медичних наук. 14.01.03 / П. І. Гордійчук. – К. – Інститут хірургії та трансплантології, 2002. – 31 с.
Дикий О. Г. Сучасні аспекти лікування спайкової хвороби очеревини / О. Г. Дикий // Клінічна хірургія. – 2008. – № 4–5. – С. 14.
Корымасов Е. А. Принципы дифференциальной диагностики и тактики при острой кишечной непроходимости / Е. А. Корымасов, Ю. В. Горбунов // Вестн. хирургии им. И. И. Грекова. – 2003. – № 3. – С. 10–106.
Раззадорин С. С. Оказание хирургической помощи больным с кишечной непроходимостью опухолевого генеза / С. С. Раззадорин, А. С. Сыкал, Ю. Л. Шальков // материалы. Междунар. хир. конгресса “Актуальные проблемы современной хирургии”, 22–25 февраля 2003 г., Москва. – М., 2013. – С. 121.
Руководство по неотложной хирургии органов брюшной полости / под ред. В. С. Савельева. – М. : Медицина, 1976. – 497 с.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)