[Relaparascopy in the treatment of postoperative complications].
Videoendoscopic technologies were used in the treatment of postoperative complications in 289 patients. All repeated laparoscopic procedures in early postoperative period after laparoscopic and laparotomic surgeries are integrated under the term "relaparoscopy". The algorithm of choice of a surgical method during laparoscopic examination is presented, technical principles of laparoscopic surgeries, indications and contraindications are formulated. Postoperative peritonitis was diagnosed in 66 (22.7%) patients, abdominal abscesses -- in 64 (22.1%), early intestinal obstruction -- in 58 (20.1%), bile outflow -- in 53 (18.2%), postoperative bleedings -- in 26 (9.1%), local liquid accumulations -- in 17 (5.8%), abdominal foreign bodies --- in 5 (1.9%) patients. Relaparoscopy was a final method of treatment of postoperative complications in 74.5% patients. In 8.6% patients videoendoscopic procedures permitted performing some elements of surgery and to convert to minilaparotomy. In 16.9% patients indications for relaparotomy were revealed during relaparoscopy, after which dynamic relaparoscopy was used as programmed sanations.
Fedorov
A V
AV
Chadaev
A P
AP
Sazhin
A V
AV
Stegniĭ
K V
KV
Karlov
D I
DI
D000465:Algorithms; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome