Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukraïny, Naukove tovarystvo khirurhiv Ukraïny
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The results of surgical treatment of 93 patients with necrotic pancreatitis are adduced. Of 71 patients, operated on using laparotomy, 18 (25.3%) have died, of 22 patients, in whom the laparoscopy (LS) was used, 1 (4.5%) have died. In 17 patients the laparotomy was omitted due to combination of LS with complex conservative treatment. Of 44 patients operated on 3 (6.8%) have died during the period of the improved tactics introduction.
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The pelvic bones osteosynthesis was conducted in 94 patients. While planning the treatment the author have used the pelvic injuries classification of AO. ⋯ Osteosynthesis of the ventral and dorsal parts of pelvis was conducted in 12 patients. The introduction of the stable-functional osteosynthesis methods have permitted to exclude the necessity of the additional immobilization application, to achieve good results in the majority of patients with pelvic injuries.
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The result of 596 laser endoscopic operations in 368 patients with tracheobronchial tumor was analyzed. In 175 (47.5%) patients the complete recanalization of stenosis was noted, in 119 (32.4%)--partial and in 74 (20.1%)--treatment was uneffective. In 9 (3.4%) patients the complications occurred.
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The structure of combined thoracic and abdominal trauma was analysed in 500 injured persons for 1984-1994 period. Mortality in the open trauma was 13.4% and in the closed one--20.4%.