[Diagnosis and treatment of appendicular infiltration].
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Biomedical subjects
Publications and source records attributed to N V Chagaev.
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The results of treatment in 2437 patients with peritonitis of the appendicular origin are analysed. The causes of development of this complication, therapeutic aspects and also most frequent tactical and technical errors, made while operating patients with peritonitis, and their influence on issues of the lesion are discussed.
According to the authors' data peritonitis developed after appendectomy in 122 of 18347 patients, operated upon for acute appendicitis, was an extremely grave complication of this lesion and the related surgical intervention. The main causes for development of postoperative peritonitis were local and diffuse peritonitis (101 cases), more rarely--technical and tactical errors made during the operation. Due to diagnostic difficulties a purposeful treatment for postoperative peritonitis was undertaken with a delay, reoperations were performed in late terms and not in every case either. The mortality due to postoperative peritonitis made 23 per cent.
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