SU1273067A1 - Method of treatment of adhesive disease - Google Patents
Method of treatment of adhesive disease Download PDFInfo
- Publication number
- SU1273067A1 SU1273067A1 SU843756190A SU3756190A SU1273067A1 SU 1273067 A1 SU1273067 A1 SU 1273067A1 SU 843756190 A SU843756190 A SU 843756190A SU 3756190 A SU3756190 A SU 3756190A SU 1273067 A1 SU1273067 A1 SU 1273067A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- adhesions
- abdominal cavity
- tubes
- adhesive disease
- separation
- Prior art date
Links
- 206010052428 Wound Diseases 0.000 claims abstract description 12
- 208000027418 Wounds and injury Diseases 0.000 claims abstract description 12
- JYGXADMDTFJGBT-VWUMJDOOSA-N hydrocortisone Chemical compound O=C1CC[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 JYGXADMDTFJGBT-VWUMJDOOSA-N 0.000 claims abstract description 8
- 210000000683 abdominal cavity Anatomy 0.000 claims abstract description 7
- 208000035965 Postoperative Complications Diseases 0.000 claims abstract description 4
- 229960000890 hydrocortisone Drugs 0.000 claims abstract description 4
- 239000000203 mixture Substances 0.000 claims abstract description 4
- 238000000926 separation method Methods 0.000 claims abstract description 4
- 240000000950 Hippophae rhamnoides Species 0.000 claims abstract description 3
- 235000003145 Hippophae rhamnoides Nutrition 0.000 claims abstract description 3
- 238000001356 surgical procedure Methods 0.000 claims abstract description 3
- 230000035876 healing Effects 0.000 claims abstract 2
- 238000000034 method Methods 0.000 claims description 5
- 239000000853 adhesive Substances 0.000 claims description 4
- 230000001070 adhesive effect Effects 0.000 claims description 4
- 201000010099 disease Diseases 0.000 claims description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 4
- 230000002262 irrigation Effects 0.000 claims description 4
- 238000003973 irrigation Methods 0.000 claims description 4
- 230000015572 biosynthetic process Effects 0.000 claims description 3
- 239000003814 drug Substances 0.000 claims description 3
- 229940079593 drug Drugs 0.000 claims 2
- 238000002483 medication Methods 0.000 claims 1
- 230000000737 periodic effect Effects 0.000 claims 1
- 238000002357 laparoscopic surgery Methods 0.000 abstract description 4
- 238000002350 laparotomy Methods 0.000 description 3
- 210000000505 parietal peritoneum Anatomy 0.000 description 3
- 210000000813 small intestine Anatomy 0.000 description 3
- 210000000056 organ Anatomy 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 210000000569 greater omentum Anatomy 0.000 description 1
- 230000008595 infiltration Effects 0.000 description 1
- 238000001764 infiltration Methods 0.000 description 1
- 208000003243 intestinal obstruction Diseases 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000004303 peritoneum Anatomy 0.000 description 1
- 210000001139 rectus abdominis Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 210000001113 umbilicus Anatomy 0.000 description 1
Landscapes
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Materials For Medical Uses (AREA)
Abstract
Изобретение относитс к хирургии. Цель изобретени - уменьшение послеоперационных осложнений. После основных этапов операции в брюшную полость ввод т две дренажные трубки. Трубки герметизируют и фиксируют к коже. На 2-е, 4-е, и 6-е сутки производ т контрольные лапароскопии с инсуфл цией газа в брюшную полость . При наличии висцеропаристальных спаек их разъедин ют. Участки разъединени спаек прицельно орошают гидрокортизоном и смесью масел шиповника и облепихи в соотношении 1:1. После заживлени раны брюшины указанные манипул ции прекращают. Дренажные трубки удал ют и раны ушивают, 1 з.п. ф-лы.The invention relates to surgery. The purpose of the invention is to reduce postoperative complications. After the main stages of the operation, two drainage tubes are inserted into the abdominal cavity. The tubes are sealed and fixed to the skin. On the 2nd, 4th, and 6th day, control laparoscopy was performed with insufflating the gas into the abdominal cavity. In the presence of visceroparistal adhesions, they are separated. The areas of separation of adhesions sighting irrigated with hydrocortisone and a mixture of rosehip and sea buckthorn in a 1: 1 ratio. After healing of the peritoneal wound, the above manipulations are stopped. Drainage tubes are removed and wounds are sutured, 1C. f-ly.
Description
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ОABOUT
а via vi
Изобретение относитс к медицине, а именно к хирургии, и может быть применено дл лечени спаечной болезин.The invention relates to medicine, namely to surgery, and can be applied for the treatment of adhesive disease.
Целью изобретени вл етс уменьшение послеоперационных осложнений, вызванных образованием висцеропаристальных спаек, что достигаетс прицельным орошением области возникновени спаек после предварительного их разъединени .The aim of the invention is the reduction of postoperative complications caused by the formation of visceroparistal adhesions, which is achieved by targeted irrigation of the area of occurrence of adhesions after their preliminary separation.
Способ осуществл ют следующим образом .The method is carried out as follows.
После выполнени основных этапов операции в брюшную полость ввод т две дренажные трубки по обе стороны от срединной рацы по наружному краю пр мых мышц живота выше пупка на 5-6 см. Трубки герметизируют и фикеируют к коже, после чего ушивают лапаротомную рану. На вторые, четвертые, шестые сутки производ т контрольные лапароскопии с инсуфл цией газа в брюшную полость, выполн ют осмотр органов н шва брюшной стенки. При наличии висцеропаристальных спаек их разъедин ют и участки разъединени спаек прицельно орошают гидрокортизоном, а также смесью масел шиповника и облепихи в соотношении 1:1. Указанные манипул ции прекращают при заживлении раны брюшины. Затем дренажные трубки удал ют и раны, образованные дл трубок, ушивают.After the main stages of the operation are completed, two drainage tubes are inserted into the abdominal cavity on either side of the median ramus on the outer edge of the rectus abdominis muscles 5-6 cm above the umbilicus. The tubes are sealed and fit to the skin, and the laparotomy wound is sutured. On the second, fourth, sixth day, control laparoscopy with gas insufflation into the abdominal cavity is performed, and organs of the abdominal wall are examined. In the presence of visceroparistal adhesions, they are separated and the areas of separation of adhesions are irrigated with hydrocortisone, as well as with a mixture of rosehip and sea buckthorn in a 1: 1 ratio. These manipulations are stopped when the peritoneal wound heals. Then, the drainage tubes are removed and the wounds formed for the tubes are sutured.
Пример. Больна С., 38 лет, инвалид второй группы, страдала спаечной болезнью с хронической кишечной непроходимостью. Ранее перенесла 7 операций на органах брюшной полости. На пневмопеританеограмме имелись массивные сйайки в брюшной полости. Выполнено рассечение спаек. Перед ушиванием лапаротомной раны в брюшную полость вставлены дренажные трубки диаметром 10 и 5 мм, которые укреплены к коже. На вторые сутки после операции воспроизведена койтрольна лапароскопи , при которой обнаружены спайки между париетальной брюшиной в области раны и петлей тонкой кишки. Отмечена инфильтраци тканей в области лапаротомной раны. Петл отделена -от брюшины манипул тором и осуществлено орошение раны и петли тонкого кишечника гидрокорJ тизоном и масл ной смесью. При повторной лапароскопии на четвертые сутки разъединены спайки между париетальной брюшиной и другой петлей тонкой кишки, а также пр дью сальника. Проведено прицельное орошение париетальной брюшины в зоне раны,Example. Sick S., 38 years old, disabled person of the second group, suffered from adhesive disease with chronic intestinal obstruction. Previously underwent 7 operations on the abdominal organs. On the pneumoperitoneogram, there were massive seyiki in the abdominal cavity. Completed dissection of adhesions. Before suturing the laparotomy wound, drainage tubes 10 and 5 mm in diameter are inserted into the abdominal cavity, which are reinforced to the skin. On the second day after the operation, laparoscopic co-monitoring was reproduced, during which adhesions between the parietal peritoneum in the wound area and the loop of the small intestine were detected. Tissue infiltration in the area of the laparotomic wound is noted. The loop is separated from the peritoneum by means of a manipulator and irrigation of the wound and loop of the small intestine with hydrocortisone and oil mixture is carried out. During repeated laparoscopy on the fourth day, the adhesions between the parietal peritoneum and the other loop of the small intestine, as well as the epiploon cord, were disconnected. The targeted irrigation of the parietal peritoneum in the wound area was carried out,
На шестые сутки при контрольной лапароскопии отмечено удовлетворительное состо ние швов лапаротомной раны и отсутствие межбрюшинных спаек. Трубки удалены, наложены швы на кожу. На пневмопери , тонеограмме, спуст 17 сут после операции, межбрюшинных спаек также не вы влено. Способ применен у 30 больных, страдающих т желой формой спаечной болезни. Полученные результаты позволили предупредить послеоперационные осложнени , On the sixth day, the control laparoscopy showed a satisfactory condition of the sutures of the laparotomy wound and the absence of interperitoneal adhesions. Tubes removed, stitched on the skin. On the pneumoperi, the toneogram, 17 days after the operation, interperitoneal adhesions were also not found. The method was applied in 30 patients suffering from a severe form of adhesive disease. The results allowed us to prevent postoperative complications,
0 вызванные образованием висцеропаристальных спаек, и восстановить трудоспособность у этой категории больных.0 caused by the formation of visceroparistic adhesions, and restore working capacity in this category of patients.
Claims (2)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU843756190A SU1273067A1 (en) | 1984-06-03 | 1984-06-03 | Method of treatment of adhesive disease |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU843756190A SU1273067A1 (en) | 1984-06-03 | 1984-06-03 | Method of treatment of adhesive disease |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1273067A1 true SU1273067A1 (en) | 1986-11-30 |
Family
ID=21124979
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU843756190A SU1273067A1 (en) | 1984-06-03 | 1984-06-03 | Method of treatment of adhesive disease |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1273067A1 (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2150897C1 (en) * | 1998-04-22 | 2000-06-20 | Плечев Владимир Вячеславович | Method for preventing visceroparietal abdominal commissures |
| RU2225171C2 (en) * | 2002-02-26 | 2004-03-10 | Курский государственный медицинский университет | Method for preventing postsurgical serous cavity commissure formation |
-
1984
- 1984-06-03 SU SU843756190A patent/SU1273067A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Васильев Р. X. Актуальные проблемы современной клинической хирургии. М.; Медицина, 1978, с. 34-37. * |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2150897C1 (en) * | 1998-04-22 | 2000-06-20 | Плечев Владимир Вячеславович | Method for preventing visceroparietal abdominal commissures |
| RU2225171C2 (en) * | 2002-02-26 | 2004-03-10 | Курский государственный медицинский университет | Method for preventing postsurgical serous cavity commissure formation |
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