CHANGES OF A TREATMENT PROGRAM FOR AN ACUTE PANCREATITIS
Pathogenetically substantiated program of complex diagnosis, prophylaxis and treatment of purulent-necrotic complications (PNC) was elaborated for improvement of results of the necrotic pancreatitis treatment. With the objective to study the PNC pathogenesis and a probation of new preparations for l...
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| Veröffentlicht in: | Klinična hìrurgìâ (Kiïv) 2015-11 (11), p.34-36 |
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| container_title | Klinična hìrurgìâ (Kiïv) |
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| creator | Kostyrnoy, O V Kosenko, A V Bayomi, Imad Mokhamed Abdel S K |
| description | Pathogenetically substantiated program of complex diagnosis, prophylaxis and treatment of purulent-necrotic complications (PNC) was elaborated for improvement of results of the necrotic pancreatitis treatment. With the objective to study the PNC pathogenesis and a probation of new preparations for local treatment the experimantal simulation of the disease was accomplished. There was proved, that during the disease course the integrity of pancreatic ductal system is disordered . A 42-year experience of treatment of an acute pancreatitis was analyzed. In I period (1970 - 1980) the operative interventions were conducted; in 11 period (1981 - 1991)--a scientifically substantiated conservative therapy; in III period (1992 - 2000)--the diagnostic procedures possibilities were extended, and operative intervention were performed in accordance to severe indications. There was established, that the main cause of PNC is a secondary microbal contamination occurrence on the third-fifth postoperative days, the immediate manipulations on pancreatic gland are forbidden; a one-time surgical processing of the necrosis foci is insufficient; the staged necrsequestrectomy constitutes the optimal operation. |
| format | Article |
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| ispartof | Klinična hìrurgìâ (Kiïv), 2015-11 (11), p.34-36 |
| issn | 0023-2130 |
| language | ukr |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Alma/SFX Local Collection |
| subjects | Bacterial Infections - complications Bacterial Infections - pathology Bacterial Infections - surgery Bacterial Infections - therapy Debridement - methods Disease Management Disease Progression Humans Minimally Invasive Surgical Procedures - methods Operative Time Pancreatitis, Acute Necrotizing - complications Pancreatitis, Acute Necrotizing - pathology Pancreatitis, Acute Necrotizing - surgery Pancreatitis, Acute Necrotizing - therapy Postoperative Period |
| title | CHANGES OF A TREATMENT PROGRAM FOR AN ACUTE PANCREATITIS |
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