The symptoms and surgical tactics for complicated forms of the abdominal cavity tuberculosis

The results of treatment of 12 patients, suffering complicated forms of abdominal tuberculosis and external intestinal fistulas, were presented. Late diagnosis of abdominal tuberculosis in the patients, suffering the complications phase of the disease, is caused by unclear symptoms presence in early...

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Veröffentlicht in:Klinična hìrurgìâ (Kiïv) 2012-01 (1), p.33-38
Hauptverfasser: Kosul'nikov, S O, Kravchenko, K V, Tarnopol'skiĭ, S A, Besedin, A M
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container_title Klinična hìrurgìâ (Kiïv)
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creator Kosul'nikov, S O
Kravchenko, K V
Tarnopol'skiĭ, S A
Besedin, A M
description The results of treatment of 12 patients, suffering complicated forms of abdominal tuberculosis and external intestinal fistulas, were presented. Late diagnosis of abdominal tuberculosis in the patients, suffering the complications phase of the disease, is caused by unclear symptoms presence in early stages of the disease. Clinical and laboratory indices in peritonitis of a phthisis origin are nonspeciphic. In 91% of patients, admitted to the hospital for complicated forms of abdominal tuberculosis and external intestinal fistulas, the operative treatment was indicated. Surgical intervention (more frequently right-sided hemicolectomy, enterostomy, the abscesses opening, the caseously-changed lymph nodes excision, formation of anastomosis) was performed in 11 patients for peritonitis and external intestinal fistulas. The method of a secure invagination anastomoses formation was elaborated, permitting to perform primary restoration operations. An early diagnosis, early effective therapy and radical surgical intervention conduction for complicated abdominal tuberculosis promote the patients to survive.
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subjects Abdominal Cavity
Adult
Colectomy
Enterostomy
Female
Humans
Immunoglobulins - blood
Intestinal Fistula - immunology
Intestinal Fistula - microbiology
Intestinal Fistula - pathology
Intestinal Fistula - surgery
Intestines - immunology
Intestines - microbiology
Intestines - surgery
Lymph Node Excision
Male
Mycobacterium tuberculosis
Peritonitis, Tuberculous - immunology
Peritonitis, Tuberculous - microbiology
Peritonitis, Tuberculous - pathology
Peritonitis, Tuberculous - surgery
T-Lymphocytes - immunology
Tuberculosis, Gastrointestinal - immunology
Tuberculosis, Gastrointestinal - microbiology
Tuberculosis, Gastrointestinal - pathology
Tuberculosis, Gastrointestinal - surgery
Tuberculosis, Lymph Node - immunology
Tuberculosis, Lymph Node - microbiology
Tuberculosis, Lymph Node - pathology
Tuberculosis, Lymph Node - surgery
title The symptoms and surgical tactics for complicated forms of the abdominal cavity tuberculosis
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