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bonjorno
17 березня 2015, 12:52
Форум: Хірургія
Тема: Випадіння сигмовидної кишки з ворсинчастою пухлиною
Відповіді: 9
Перегляди: 924

Випадіння сигмовидної кишки з ворсинчастою пухлиною

Колеги, така хвора: бабуся з купою супутньої патології, майже ровесниця революції, ворсинчаті (клінічно, звичайно...) пухлини сигмовидной кишки, її випадіння. Между пролабуючим евагінатом и анальним каналом палець з усіх боків входить вільно і до основи евагінату дійти не вдається. Яка має бути такт...
bonjorno
17 березня 2015, 14:56
Форум: Хірургія
Тема: Випадіння сигмовидної кишки з ворсинчастою пухлиною
Відповіді: 9
Перегляди: 924

Re: Випадіння сигмовидної кишки з ворсинчастою пухлиною

Уточнюю: випадіння прямої кишки і анального каналу у хворої не було - вся пряма кишка на місці, інвагінація трапилася на рівні ректосігмоїда.
bonjorno
24 березня 2015, 11:13
Форум: Хірургія
Тема: Про занурення культі апендикса
Відповіді: 37
Перегляди: 2230

Re: Про занурення культі апендикса

Перев'язував культю однією лігатурою (лавсан) при лапароскопічній апендектомії багато разів (20-30). Ніяких проблем.
bonjorno
24 березня 2015, 11:15
Форум: Хірургія
Тема: Хімічний опік шлунка і ДПК
Відповіді: 5
Перегляди: 538

Re: Хімічний опік шлунка і ДПК

Єюностома, дренувати черевну порожнину, закрити живіт, релапаротомія за вимогою.
bonjorno
24 березня 2015, 11:18
Форум: Травматологія і ортопедія
Тема: Призначення антикоагулянтів в пізні строки
Відповіді: 3
Перегляди: 420

Re: Призначення антикоагулянтів в пізні строки

Зараз пацієнт також дотримується ліжкового режиму? Крім ліжкового режиму - інші фактори ризику є?
bonjorno
14 травня 2015, 19:33
Форум: Загальні медичні питання
Тема: Електрокоагуляція і металоконструкції
Відповіді: 15
Перегляди: 717

Re: Електрокоагуляція і металоконструкції

Може був дефект ізоляції на "активному" проводі? На мокрій тканині цей дефект міг би викликати опік. Іноді достатньо тріщини в ізоляції.
bonjorno
14 травня 2015, 20:53
Форум: Інфекційні хвороби
Тема: Ускладнення вітряної віспи
Відповіді: 2
Перегляди: 559

Ускладнення вітряної віспи

Флегмона підшкірної клітковини зустрілася у дитини в період реконвалесценції.




Поступово рани очистилися, зажили.
bonjorno
20 липня 2015, 18:35
Форум: Хірургія
Тема: Старі кісти підшлункової залози
Відповіді: 6
Перегляди: 244

Re: Старі кісти підшлункової залози

А які в колеги аргументи, має якийсь досвід ?
bonjorno
20 липня 2015, 18:46
Форум: Анестезіологія-реаніматологія
Тема: Операція при перфорації порожнистого органа
Відповіді: 18
Перегляди: 1372

Re: Операція при перфорації порожнистого органа

Різати зараз, інтенсивна терапія на столі. Тут треба застосувати принцип 'Damage control'.
bonjorno
05 жовтня 2015, 19:26
Форум: Медичні новини
Тема: Квіташвілі подав у відставку
Відповіді: 107
Перегляди: 4462

Re: Квіташвілі подав у відставку

Це якийсь сюреалізм: історик Квіташвілі вважає себе компетентним у галузі охорони здоров'я ?! З таким же "успіхом" цей чиновник міг би "управляти", скажімо, Укркосмосом! Перетворив МОЗ в "шарашкіну контору", і ще викаблучується! Ні совісті, ні честі у цього "новато...

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