Postoperative Biliary Peritonitis
Journal Title: Surgery & Case Studies: Open Access Journal - Year 2019, Vol 2, Issue 4
Abstract
The author watched 83 patients with postoperative peritonitis bilious, of whom 27 (32.5%) the reason for its development was inspired by the ongoing peritonitis, 38 (45.9%) is non-suite Lodge of the gall bladder, 3 (3.6%)-damage to abnormally developed bile ducts, 8 (9.6%)-migration tubes exegesis, 7 (8.4%)-wound exegesis. Died 8 (9.6%) patients. The author notes the difficulty of diagnosis of this complication due to the paucity of symptoms. Lately there has been a significant increase in patients with acute cholecystitis, if this fatality rate when it is 3-7% [1]. Analysis of literature data suggests that even now, despite great technical capabilities of modern surgery, surgeries for cholecystitis are accompanied by various tactical and technical medical errors. So, if damage reaches exegesis cholecystectomy 5.6% and zhelcheistechenie from gallbladder bed is 8.3% [2]. In 68%- 81.1% of cases the reason for the development of postoperative biliary peritonitis are tactical and technical medical errors [3,4,5]. Prominent negative role for prediction of treatment provides and the presence of patients expressed disorders of immunity and slowing the regeneration process [5]. The most frequent complications arise during surgery in patients with destructive form of this disease, the syndrome of Mirizzi, sclerosis of the gallbladder and biliary tract abnormalities. Postoperative mortality in persons aged patients reaches 80% [2.5]. Prognosis worsens or if there already or developing in the patient of acute pancreatitis. Such observations lethality reaches 30-35% [1]. These data demonstrate the feasibility of evaluating the treatment of patients with acute cholecystitis in the various hospitals to develop a diagnostic and treatment algorithm specified complications.
Authors and Affiliations
Shaposhnikov Veniamin Ivanovich
Keywords
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- EP ID EP643261
- DOI 10.32474/SCSOAJ.2019.02.000141
- Views 93
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