Biomedical subjects
Publications and source records attributed to I V Mikhin.
Overall 3457 laparoscopic procedures after open and laparoscopic abdominal operations have been performed including 270 relaparoscopies due to intraabdominal postoperative complications. Basing on their own experience, the authors give methodological and technological recommendations allowing to increase diagnostic and surgical efficacy of relaparoscopy and to reduce the rate of complications.
The indications to dissection of commissures in the algesic form of adhesive disease are determined. An experience with performing 36 laparoscopic operations is described. In 34 cases adhesiolysis was fulfilled under conditions of the I-III degree of the commissural process. Technical problems appeared while dissecting commissures in 2 patients with the IV degree of the commissural process due to pronounced dystopia of organs of the abdominal cavity. No complications were registered during operations. Control examination of 29 patients did not reveal recurrent diseases.
Experience in 2277 laparoscopic surgeries performed in patients with history of conventional and minimally invasive surgeries is analyzed. Regularities of commissures formation after some surgeries are determined. Viscero-parietal commissures (VPC) which are the main cause of possible intraoperative complications were revealed in 1746 (76,7%) patients. Diagnostic value of special ultrasonic examination was 95,5%, on the average. Laparoscopic adhesiolysis in different types of adhesive disease was attempted in 195 patients, 170 (87,2%) procedures were finished successfully. Application of Interceed (TC-7) on parietal peritoneum was used in 14 patients to prevent repeated formation of commissures.
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