VIDEO-LAPAROSCOPIC INTERVENTIONS IN DIAGNOSTICS AND TREATMENT OF TORSION AND NECROSIS OF APPENDICES EPIPLOICA
A retrospective analysis of treatment of 82 patients with torsion and necrosis of appendices epiploica was made. The video-laparoscopic surgery of these patients was performed. When the diagnosis is unclear, the differential diagnostics should be made between the appendices epiploica disease and oth...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Pavlov First Saint Petersburg State Medical University
2018-01-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/627 |
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| Summary: | A retrospective analysis of treatment of 82 patients with torsion and necrosis of appendices epiploica was made. The video-laparoscopic surgery of these patients was performed. When the diagnosis is unclear, the differential diagnostics should be made between the appendices epiploica disease and other abdominal diseases using the video-laparoscopy. This method allowed the establishment of the correct diagnosis of torsion and necrosis of appendices epiploica in 95,1% of patients. The laparoscopic treatment was made in 87,8% of cases with minimal quantity of postoperative complications. The video-laparoscopy allowed the detection of accompanying pathology of abdominal organs and performance of the correction by low-invasive method. The need of conversion occurred in 12,2% of patients. Postoperative period was characterized by uneventful recovery, minimal usage of analgesics and antibiotics, early stages of rehabilitation, perfect cosmetic effect in majority of patients. |
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| ISSN: | 0042-4625 |