[A rare complication of acute appendicitis].
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Biomedical subjects
Publications and source records attributed to S Z Mustafin.
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The analysis of the causes of 45 (0.16%) eventrations which occurred after 27,438 emergency laparotomies was carried out. The authors attach the most importance in the occurrence of this complication to the development of a purulent-necrotic process in the wound of the abdominal wall, which spreads from outside inside in relation to the abdominal wall layers. Most often, eventration occurs at day 6-8 after the operation. Prophylaxis of postoperative phlegmona in a wound is the most effective measure for prevention of eventration.
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Based upon an analysis of long-term results of treatment of 99 patients after appendicular infiltrate and abscess the authors made a conclusion that young and middle-aged patients with this disease have indications for operation in the early period--within 2-3 weeks after resolution of the infiltrate. In elderly and senile patients, especially those with a pronounced concomitant pathology, planned operations should be refrained.
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