Khirurgiia
-
Randomized Controlled Trial Multicenter Study
[Surgical Site Infections after Open Appendectomy and Effectiveness of Complex Approach to Their Prevention].
To assess an incidence rate of surgical site infections (SSI) after open appendectomy and effectiveness of combined preventive measures (CPM). ⋯ SSI after an open appendectomy remains an important problem. In order to determine a true incidence of SSI, it is necessary to improve the national nosocomial infection surveillance system. The CMP used in the study have showed a trend to significant SSI risk reduction and may be recommended to maximize patient protection. Further large studies are needed to confirm effectiveness of the proposed CMP.
-
Randomized Controlled Trial
[Total mesorectal excision in rectal cancer management: laparoscopic or transanal?].
To evaluate and compare intraoperative features, early surgical outcomes, quality of excised specimen after laparoscopic and transanal total mesorectal excision (LA-TME and TA-TME). ⋯ Preliminary data show comparable early outcomes after transanal and laparoscopic techniques. Laparotomy and associated compications are avoided in case of transanal extraction of specimen. Further researches are necessary to study functional and long-term results.
-
Randomized Controlled Trial
[New approach to postoperative delirium treatment].
The efficiency of different drugs for sedation was studied in 51 patients after large abdominal operations complicated by postoperative delirium. Diagnosis of postoperative delirium was established according to CAM-ICU criteria. ⋯ Besides, patients which received dexmedetomidine preserved opportunity for verbal contact. Also these patients interacted better with department's stuff.
-
Randomized Controlled Trial Comparative Study
[The efficacy of the moisture and warmed CO(2) for laparoscopic surgery].
A prospective, randomized study comparing 150 patients undergoing laparoscopic operations (110 patients undergoing laparoscopic cholesystectomy and 40 patients laparoscopic fundoplication) with standard CO2 insufflation vs those receiving warmed, humidified CO2 was performed. All patients were randomized into 2 groups - 84 receiving standard CO2 insufflation (control group) and 66 receiving warmed, humidified CO2 (main group). ⋯ We revaeled that warmed, humidified CO2 has advantages that were statistically significant. Patients undergoing warmed, humidified carbon dioxide (CO2) insufflation for maintain a warmer intraoperative core temperature, and have less postoperative pain and need less analgesic requirements than patients with standard CO2 insufflation.
-
Randomized Controlled Trial Comparative Study
[Comparison of clinical and economic performance of peripheral venous catheters].