title: [Video-laparoscopic interventions in diagnostics and treatment of torsion and necrosis of appendices epiploica].
abstract: A retrospective analysis of treatment of 82 patients with torsion and necrosis of appendices epiploica was made. The video-laparoscopic surgery of these patients was performed. When the diagnosis is unclear, the differential diagnostics should be made between the appendices epiploica disease and other abdominal diseases using the video-laparoscopy. This method allowed the establishment of the correct diagnosis of torsion and necrosis of appendices epiploica in 95.1% of patients. The laparoscopic treatment was made in 87.8% of cases with minimal quantity of postoperative complications. The video-laparoscopy allowed the detection of accompanying pathology of abdominal organs and performance of the correction by low-invasive method. The need of conversion occurred in 12.2% of patients. Postoperative period was characterized by uneventful recovery, minimal usage of analgesics and antibiotics, early stages of rehabilitation, perfect cosmetic effect in majority of patients.
authors.forename: M E
authors.initials: ME
authors.lastname: Timofeev
authors.forename: E D
authors.initials: ED
authors.lastname: Fedorov
authors.forename: A P
authors.initials: AP
authors.lastname: Krechetova
authors.forename: S G
authors.initials: SG
authors.lastname: Shapoval'iants
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis*; D000328:Adult; D000368:Aged; D003106:Colon / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D014102:Torsion Abnormality / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000379:methods*