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Гострий парапроктит - Проктологія - Форум лікарів
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Гострий парапроктит

Darmidon
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Гострий парапроктит

Повідомлення#1 » 11 жовтня 2016, 20:31

Чоловік, 45 років, гострий гнілостний пельвіоректальний парапроктит, підковоподібний, неклострідіальною некротичною флегмоною лівої сідничної ділянки.
Потрібно робити стому чи ні?
Вкладення
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IMG_20161010_122804.jpg (1.88 МіБ) Переглянуто 543 разів

Полиграф Полиграфыч
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Re: Гострий парапроктит

Повідомлення#2 » 11 жовтня 2016, 21:04

наши хирурги в подобных случаях стому не выводили

Аватар користувача
Ілля Пігович
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Re: Гострий парапроктит

Повідомлення#3 » 11 жовтня 2016, 21:07

Не потрібно. :sh_ok:

Якісь нові віяння?

Darmidon
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Re: Гострий парапроктит

Повідомлення#4 » 11 жовтня 2016, 21:10


Аватар користувача
Ілля Пігович
Повідомлень: 1501
З нами з: 18 лютого 2015, 12:05
Спеціальність: хірург
Звідки: Кам'янець-Подільський
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Re: Гострий парапроктит

Повідомлення#5 » 11 жовтня 2016, 21:23

Якщо є явна дірка в кишку, то це інша справа. Але і тут треба думати, потрібна стома, чи можна обійтися.

Darmidon
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Re: Гострий парапроктит

Повідомлення#6 » 11 жовтня 2016, 21:28


Полиграф Полиграфыч
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Re: Гострий парапроктит

Повідомлення#7 » 11 жовтня 2016, 21:43


Андрій-Хірург
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Re: Гострий парапроктит

Повідомлення#8 » 12 жовтня 2016, 12:23

Я думаю, поки в рані є стільки некротичних тканин, трохи какашок нічого суттєво не поміняють. Я би вів без стоми. А потім рана очиститься, і якщо нориця не проявить тендеції до закриття, то можна буде і стому накласти.

Полиграф Полиграфыч
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Re: Гострий парапроктит

Повідомлення#9 » 12 жовтня 2016, 13:47


Андрій-Хірург
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Re: Гострий парапроктит

Повідомлення#10 » 12 жовтня 2016, 14:36

Що таке сетон?

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