Mini-invasive methods of treatment of liquid formations of parhychymatic ogrgans and abdominal cavity in planned and urgent abdominal surgery

doi:10.26565/2617-409X-2018-1-04

L. N. Dushik V. N. Karazin Kharkiv National University http://orcid.org/0000-0002-8330-7221
N. V. Cherkova V. N. Karazin Kharkiv National University https://orcid.org/0000-0002-4471-4684
Т. Е. Skalozub Kharkov Clinical Hospital Number 2 on Railroad Transport , “Health care center” branch, public joint-stock Ukrzaliznitsya

DOI: https://doi.org/10.26565/2617-409X-2018-1-04

Keywords: liquid formations of the abdominal cavity, cysts, punctures, ultrasound

Abstract

The problem of diagnosis and treating-tactical criteria for liquid formations of the abdominal cavity and retroperitoneal space of non-parasitic genesis remains unsolved. The purpose of this study is to improve the results of surgical treatment of patients with liquid formations of the parenchymal organs, abdominal cavity and retroperitoneal space through the complex use of minimally invasive diagnostic methods and surgical treatment. Clinical-physical, then clinical-laboratory methods of examination of patients were performed, during which liquid structures were suspected Comparing different methods of surgical treatment of non-parasitic liquid formations of parenchymal organs and the abdominal cavity, it was established that the use of minimally invasive methods allowed to improve the medical and social indicators in this group of patients significantly. The use of puncture drainage methods in combination with conservative therapy for the treatment of pancreatic pseudocyst is effective. This method is important for diagnosing and determining the connection of a cyst with a duct, as well as for differential diagnosis with tumors.
In patients with pancreatic head tumors complicated by obstructive jaundice, decompression of the gall tree by means of percutaneous transhepatic microcholecystostomy for 7–15 days significantly improved and normalized the functional state of the liver, which allowed for the application of bilidigents anastomoses.
The use of puncture drainage methods under the control of sonography in liver cysts leads to a positive result of the treatment of this pathology and the prevention of complications.
When comparing various methods of surgical treatment of non-parasitic fluid formations of parenchymatous organs, the abdominal cavity, it was found that the use of minimally invasive methods has significantly improved medical and social indicators in this group of patients.

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Author Biographies

L. N. Dushik, V. N. Karazin Kharkiv National University

Svobody sq., 6, Kharkiv, 61022, Ukraine

N. V. Cherkova, V. N. Karazin Kharkiv National University

Svobody sq., 6, Kharkiv, 61022, Ukraine

Т. Е. Skalozub, Kharkov Clinical Hospital Number 2 on Railroad Transport , “Health care center” branch, public joint-stock Ukrzaliznitsya

Malopanasivska St., Kharkiv, 61052, Ukraine

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