[Prophylactics of postoperative complications in destructive appendicitis and typhlitis].

Abstract

The method of extraperitonization of the blind gut cupola based on the removable monofilament sutures and drainage of the area was designed, approved in experiments in dogs (n=18) and corpses (n=14) and successfully applied in the clinic (n=25). Unlike the traditional method, the using of this one results in less impaired trophicity, LPO intensification and phospholipase activity of the tissues of regenerating structures that was the grounds of sufficiently rapid reparation process under conditions of inflammation. The proposed complex of surgical measures in patients with destructive forms of acute appendicitis complicated by the inflammatory-necrotic phenomena in the blind gut wall was shown to prevent the development of dangerous postoperative complications, incompetence of the sutures included.

• Authors: A P Vlasov, V V Saraev, N A Okunev, Iu P Stepanov
• Journal: Vestnik khirurgii imeni I. I. Grekova (Vestn Khir Im I I Grek) Vol. 163 Issue 5 Pg. 60-4 ( 2004) ISSN: 0042-4625 [Print] Russia (Federation)
• Vernacular Title: Profilaktika posleoperatsionnykh oslozhneniĭ pri destruktivnom appenditsite i tiflite.
• PMID: 15651697 (Publication Type: English Abstract, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Animals
• Appendectomy (methods)
• Appendicitis (surgery)
• Child
• Child, Preschool
• Dogs
• Enterocolitis, Necrotizing (surgery)
• Female
• Humans
• Infant
• Male
• Middle Aged
• Peritonitis (prevention & control)
• Postoperative Complications (prevention & control)
• Surgical Wound Dehiscence (prevention & control)
• Treatment Outcome