Email this article Thechnical details of laparoscopy in the early post-operation period
- Authors: Sobolev V.E.1, Dudanov I.P.1, Andreev Y.V.1
-
Affiliations:
- Karelian scientific medical center of the North-West branch of RAMS
- Issue: Vol 4, No 4 (2004)
- Pages: 79-88
- Section: Clinical medicine
- URL: https://journals.rcsi.science/MAJ/article/view/355314
- ID: 355314
Cite item
Open Access
Access granted
Subscription Access
Abstract
Early post-operation intra-abdominal complications represent one of the most burning problems in surgery. Laparoscopy is a promising method of diagnostics and treatment of early post-operation pathology. We have analyzed the results of 277 laparoscopy procedures performed in the early post-operation period in 199 patients with the purpose of diagnostics and treatment. They were carried out after operations on the abdominal and retroperitoneal organs. The objective of the study was to define the peculiarities of laparoscopy in the early post-operation period and to work out the ways to perform it.
Considering the results of laparoscopy performed in the early post-operation period, we suggest an algorithm of early post-operation intra-abdominal complications diagnostics, which allows the efficient use of additional diagnostic methods. The main principle of the algorithm is the choice of the method most informative for the respective intra-abdominal complication. The use of laparoscopy enabled us to minimize the number of complications (0.36%).
About the authors
V. E. Sobolev
Karelian scientific medical center of the North-West branch of RAMS
Author for correspondence.
Email: shabanov@mail.rcom.ru
Russian Federation, Petrozavodsk
I. P. Dudanov
Karelian scientific medical center of the North-West branch of RAMS
Email: shabanov@mail.rcom.ru
член-корреспондент РАМН
Russian Federation, PetrozavodskY. V. Andreev
Karelian scientific medical center of the North-West branch of RAMS
Email: shabanov@mail.rcom.ru
Russian Federation, Petrozavodsk
References
- Бебуришвили А. Г, Земцов Р. В., Овчаров А. Н., Зюбина Е. Н., Лозовой А. В. Релапароскопия в раннем послеоперационном периоде // Тезисы докладов III Всероссийского съезда по эндоскопической хирургии. М., 2000. С. 9.
- Борисов А. Е., Левин Л. А., Щербакова А. Н. Применение релапароскопии для диагностики и лечения абсцессов брюшной полости // Тезисы докладов III Всероссийского съезда по эндоскопической хирургии. М., 2000. С. 11.
- Буянов В. М., Родоман Г В. и др. Программированная санационная видеолапароскопия при распространенном перитоните // Эндоскопическая хирургия. 1999. № 1. С. 13-15.
- Мышкин К. И., Блувштейн Г. А., Лопатинский Ю. Н., Коссович М. А. Причины послеоперационных внутрибрюшных осложнений в экстренной хирургии и пути их профилактики // Вестник хирургии. 1989. № 3. С. 108-111.
- Тюкаркин М. Ф., Бобышин В. В. и соавт. Диагностическая и лечебная лапароскопия при осложнениях после операций на органах брюшной полости // Клин. хир. 1989. № 1. С. 58.
- Федоров А. В., Сажин А. В. Лапаро- и релапароскопия в диагностике и лечении послеоперационных осложнений // Хирургия. 2003. № 3. С. 73-75.
- Harbrecht P. J., Gorrison R. N., Fry D. E. Early urgent relaparotomy // Arch. Surg. 1984. Vol. 119. № 4. P. 369-374.
- Krause K. Reintervention in abdominal surgery // World. J. Surg. 1987. Vol. 11. № 2. P. 226-232.
- Martin E. C., KarIson K B., Fankuch E. S. et al. Percutaneous drainage of postoperative intraabdominal abscesses //Amer. J. Surg. 1982. Vol. 138. P. 13-15.
- Olak J., Chriton N.V, Stein L.A. et al. Operative percutaneous drainage of intraabdominal abscesses // Arch. Surg. 1986. Vol. 121. № 2. P. 141-146.
- Stossel H. U. Beziegungen zwischen Abdominal-chirurgie und Laparoskopie? // Z. Gastroenterol. 1973. Bd. 11. №2. S. 113-116.
- Van Sonnerberg E., Ferruci J. T., Mueler P. R. et al. Percutaneous drainage of abscessus and fluid collections: technigue, results and applications // Radiology. 1982. Vol. 142. № 1. P. 1-10.
Supplementary files
