The spontaneous hemoluminescence of blood and wound discharge in 26 patients operated in artificial circulation is studied. In uncomplicated course during artificial circulation and after operation independent of the effect of applied hemodilutants the increase of hemoluminescence of blood is found. Similar changes on days 23 after intervention are revealed in wound discharge. The indices approach to the initial values on days 45 after artificial circulation. Deviations from described dynamics coincide, as a rule, with grave postoperative state of patients. On the basis of the results of investigations the suggestions of the phagocytes activity changes in artificial circulation are made.
The prophylaxis method of postoperative mediastinitis after median sternotomy by the. block method of the basic parasternal neurovescular fascicles is described. The results obtained are analysed in 52 patients, of which 22 patients form the control group. The new method developed is a simple but effective method of postoperative mediastinitis prophylaxis and is favourable for the best healing of the sternotomie wound and decrease of the pain syndrome.
Purpose. Analysis of surgical aspects of the experience of 13 years of percutaneous endoscopic microgastrostomy for enteral therapeutic provision of patients with parkinsonism.Methods. The 4-year follow-up group (2012-2021) included 20 patients aged 55 to 72 years with severe Parkinson's disease, mostly men. From 2008 to 2012, patients underwent microgastrostomy installation using a Frezenius kit. Levodopa carbidopa was injected into the jejunum through a micro-drainage gastrostomy.Results. During the 1st year of gastrostomy functioning, the following complications developed: gastric juice leakage onto the skin with the skin maceration development (2 cases), the hypergranulation development around the gastrostomy (3 cases), the gastrostomy support ring prolapse into subcutaneous fat with an abscess development (2 patients). By the end of the 4th year follow-up, 3 more patients had gastrostomy prolapse into subcutaneous tissue without suppuration. On the micro-drainage part complications were observed in the form of the bezoar formation at the tube end and micro-drainage nodulation in the stomach with the lumen obturation. The author used different methods of prevention and complications treatment in each individual case. To prevent gastric juice leakage and the proliferation of hypergranulations, tube fixation correction and local treatment are necessary; to prevent prolapse of the gastrostomy support ring, it is advisable to use a prolene mesh gasket. A gastrostomy change l with proper care is advisable 1 time in 3-4 years, micro-drainage at least 1 time in 2 years to prevent the bezoar formation on the catheter and its rupture.Conclusion. Puncture microgastrostomy performed under endoscopic control can be effectively used for a long time to inject nutritional mixtures and medicines into the gastrointestinal tract.
Aim. Analysis of the experience of percutaneous endoscopic microgastrostomy use for the long-term enteral nutrition therapy and therapeutic treatment of patients with Parkinson’s disease. Methods. The group of 4-year observation period (2012-2016) included 20 patients aged 55 to 72 with severe form of Parkinson’s disease, mostly males. All patients had microgastrostomy performed in 2008-2012 with the use of «Frezenius» set. Through microgastrostomy levodopa-carbidopa was administered by microdrainage to jejunum. Results. During the first year of functioning of gastrostomy the following complications occured: gastric juice leakage to the skin surface causing the skin maceration (in 2 cases), growth of hypergranulations around gastrostomy (in 3 cases), prolapse of the supporting ring of microgastrostomy to subcutaneous fat causing abscess (in 2 patients). By the end of the fourth year of observation 3 more patients developed prolapse of microgastrostomy to subcutaneous fat without suppuration. The authors in each certain case used different preventive methods and treatment of complications. To prevent gastric juice leakage and growth of hypergranulation, correction of tube fixation and local treatment are necessary; to prevent prolapse of the supporting ring of gastrostomy use of prolene mesh is appropriate. The microgastrostomy should be changed once in 3-4 years with proper care. When microdrainage is used for medication administration through gastrostomy to jejunum, its replacement is necessary at least once in 2 years to prevent bezoar development on catheter. Conclusion. Puncture microgastrostomy performed under endoscopic control can be effectively used for long-term nutrient and medications administration to digestive tract.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.