title: [Cholecystectomy from a median incision and the lack of need for gauze tampons].
abstract: An analysis of surgical treatment in 482 patients with gallbladder affections is presented and estimated comparatively. Modern anesthesia with the use of myorelaxants allowed a neglect of most abdominal wall incisions and the performance of cholecystectomy from the upper median incision irrespective of patients's constitution and weight, moreover gauze tampons are not employed in the clinic any longer. Instead of them a rubber tube is introduced in the Winslow foramen through a trochar made puncture in the right subcostal space. Such measures enabled us to reduce considerably the number of various complications and the mortality in acute cholecystitis from 15.5% to 3.5%, to shorten the patient's stay at the hospital from 38 to 15 days, while in cholelithiasis--from 30 to 13 days.
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D002763:Cholecystectomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D002764:Cholecystitis / Q000601:surgery; D002769:Cholelithiasis / Q000601:surgery; D004322:Drainage; D006801:Humans; D008875:Middle Aged; D013630:Tampons, Surgical
vernacular_title: Kholetsistéktomiia iz sredinnogo razreza i otkaz ot marlevykh tamponov