The leading indicator of a successful outcome of surgical intervention is generally recognized as an assessment of QL, which includes the physical, psychological, emotional and social functioning of a person. The results of the QL study after 6 months and 1 year following the appendectomy showed significantly higher total physical and mental health indicators in patients after minilaparotomy by the proposed method. Long-term results 1 year after appendectomy in these patients demonstrate the stability of the restored clinical parameters. (International Journal of Biomedicine. 2018;8(2):139-141.)
The aim of our study was to improve the surgical treatment of patients with acute appendicitis (AA) by improving the miniincision approach. Materials and Methods: The study included 220 patients (mean age of 38.9±14.3 years) with AA, who underwent surgical treatment in the period from 2008 to 2017. A mini-incision appendectomy was performed on all patients. Patients were divided into 2 groups. The groups were comparable with respect to age and sex. Group 1 included 140 patients who underwent appendectomy by the traditional method of minilaparotomy with the classical sanitation and drainage of the abdominal cavity. Group 2 included 80 patients who underwent appendectomy by the developed method of a minimally invasive approach and sanitation and drainage of the abdominal cavity. Results: The developed method of minilaparotomy expands and improves the area of accessibility by an average of 4.8 cm 2 for surgical manipulations during an appendectomy. The proposed method of minilaparotomy reduces the duration of an appendectomy by an average of 11.5 minutes, and the rate of complications during surgery and purulent-inflammatory complications by 3.9%.
Институт медицины, экологии и физической культуры Ульяновского государственного университета, РоссияThe resulTs of minilaparoTomY in paTienTs WiTh acuTe appendiciTis charyshkin a. l., Yartsev m. m. institute of medicine, ecology and physical education of ulyanovsk state university, russiaОбследовано 220 больных острым аппендицитом в период с 2008 по 2017 год. Средний возраст составил 38,1±13,8 лет. Всем пациентам выполнено хирургическое лечение: аппендэктомия, выполненная из минидоступа, с дренированием брюшной полости. Распределение больных по группам по способу минилапаротомии: первая группа -140 больных, оперированных традиционным методом минилапаротомии, аппендэктомии; вторая группа -80 пациентов, которым аппендэктомия выполнена разработанным способом минидоступа (Чарышкин А. л., ярцев м. м., патент № 2612983). Оригинальный способ малоинвазивного доступа при аппендэктомии расширяет доступность для хирургического вмешательства на 4,8 см 2 по сравнению со стандартной минилапаротомией, позволяя снизить время оперативного вмешательства в среднем на 11,5 минут. Таким образом, предложенный способ минилапаротомии снижает локальные гнойно-воспалительные осложнения на 3,9 %.
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.