[Treatment of early postoperative intra-abdominal complications in elderly and senile patients].
Results of treatment of 334 patients who had intra-abdominal complications in the early postoperative period were analyzed. Among them there were 160 patients (47.9%) aged 60 years and older. Reoperations for different complications were performed on 311 patients including 141 patients from the older age group that made up 45.3%. The primary operations were performed on 131 elderly and senile patients for emergency and urgent indications. Planned operations on organs of the abdominal cavity were performed on 29 (18.1%) patients. Our experiences include 114 laparoscopies in 92 elderly and senile patients with the aim to diagnose and treat early postoperative intra-abdominal complications. A suspected intra-abdominal complication or high risk of its appearance was considered as an indication for the investigation. The laparoscopic method for diagnosing and treatment of this category of patients is thought to be a perspective direction for the improvement of results of treatment of a pathology of the early postoperative period.
Dudanov
I P
IP
Sobolev
V E
VE
Alontseva
N N
NN
Rasiukevich
A L
AL
D000005:Abdomen; D018784:Abdominal Abscess / Q000453:epidemiology / Q000209:etiology*; D000368:Aged; D005260:Female; D006801:Humans; D045823:Ileus / Q000453:epidemiology / Q000209:etiology*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000453:epidemiology / Q000209:etiology*; D011183:Postoperative Complications / Q000401:mortality; D019106:Postoperative Hemorrhage / Q000453:epidemiology*; D015996:Survival Rate