- •O. L. Sytnik, V. V. Leonov, V. Ju. Petrenko surgery. Emergency abdominal surgery
- •Contents
- •Introduction
- •Chapter 1 Acute appendicitis
- •Clinical diagnostics of acute appendicitis
- •Special examinations
- •Differential diagnosis of acute appendicitis
- •Treatment of acute appendicitis
- •Complications of acute appendicitis
- •Chapter 2 Acute cholecystitis
- •Clinical diagnostic of acute cholecystitis
- •Special examinations
- •Investigations in acute cholecystitis
- •Differential diagnosis of acute cholecystitis
- •Treatment of acute cholecystitis
- •Chapter 3 Acute pancreatitis
- •Aetiology
- •Pathophysiology
- •Classifications Savelyev V. S. (1983)
- •Atlanta classification, Beger h. G., 1991
- •Clinical diagnostic of acute pancreatitis
- •Special examinations
- •Imaging studies
- •Treatment of acute pancreatitis
- •Surgical care
- •Operations
- •Chapter 4 Perforated peptic ulcer
- •Aetiology
- •1. Predisposing factor: progressive destruction of stomach or duodenal wall.
- •Classifications
- •Clinical manifestations
- •Diagnosis programmer
- •Treatment of perforated peptic ulcer
- •Various types of vagotomy
- •Chapter 5 Peptic ulcer acute haemorrhage
- •Pathophysiology
- •Classifications
- •History
- •Clinical manifistation
- •Differential diagnosis
- •Diagnosis program
- •Imaging studies
- •Policy and choice of treatment method
- •Operations for bleeding gastric ulcers
- •Chapter 6 Bowel obstruction
- •A small-bowel obstruction (sbo)
- •Frequency
- •Pathophysiology
- •History
- •Physical examination
- •Special examinations
- •Imaging studies
- •Treatment
- •Prognosis
- •A large-bowel obstruction (lbo)
- •History
- •Clinical diagnostics
- •Special examinations
- •Imaging studies
- •Procedures
- •Medical Care
- •Surgical Care
- •Further оutpatient сare
- •Prognosis
- •Pathophysiology
- •Imaging studies
- •Chapter 7 Acute peritonitis
- •Relevant anatomy
- •Functions of peritoneum
- •Classifications
- •Pathophysiology
- •Clinical diagnostic of acute peritonitis
- •Special examinations
- •Imaging studies
- •Medical therapy
- •Intraoperative details
- •Classification
- •Abdominal Wall Anatomy
- •Clinical signs
- •Inguinal Herniorrhaphy.
- •Inguinal Herniorrhaphy. Alloplastic Repair
- •Femoral Herniorrhaphy.
- •Umbilical and Paraumbilical hernia
- •Postoperative Hernia
- •Postoperative complications
- •Tests for control Chapter 1. Acute appendicitis
- •Standards of answers
- •Chapter 2. Acute cholecystitis
- •Standards of answers
- •Chapter 3. Acute pancreatitis
- •Standards of answers
- •Chapter 4. Perforated peptic ulcer
- •Standards of answers
- •Chapter 5. Peptic ulcer acute haemorrhage
- •Standards of answers
- •Chapter 6. Bowel obstruction
- •Standards of answers
- •Chapter 7. Acute peritonitis
- •Standards of answers
- •Chapter 8. Hernias of abdominal wall
- •Standards of answers
- •Situational problem tasks
- •Standards of answers
- •Standards of answers
- •Standards of answers
- •Standards of answers
- •Standards of answers
- •Standards of answers
- •Standards of answers
- •References Obligatory literature
- •Faculty literature
- •Appendix a Algorithm of acute appendicitis diagnostic
- •Appendix b Algorithm of diagnosis and treatment of appendicular mass and abscess
- •Appendix c Algorithm of acute cholecystitis treatment
- •Appendix d Algorithm of diagnosis and treatment of acute pancreatitis
- •Appendix e Algorithm of diagnosis and treatment of perforated ulcer
- •Appendix f Algorithm of diagnosis and treatment of bleeding ulcer
- •Appendix g Algorithm of diagnosis and treatment of bowel obstruction
- •Appendix h Pathogenesis of acute peritonitis
- •Appendix k Algorithm of hernias treatment
- •Appendix l Algorithm of treatment of the strangulated hernia
- •Subject index
Appendix h Pathogenesis of acute peritonitis
(obligatory)
A ggressive, infected content has gotten into abdominal cavity
I
nflammatory
response Activation of immune system, biological into
abdominal cavity active substances,
hypothalamo-
(oedema, hyperemia, pituitary-adrenal axis
e
xudation)
P
eritoneal
Hypoxia of Multiplication Released
Disturbances of
exudate bowel wall of microbes cathepsins microcircu-
lation
Adynamic
ileus
Liquid Microbes Phenols,
sequestration translocation skatoles
production
H
ypovolemia
Intoxication Lost control
(resources depletion)
Septic shock and multiple organ failure
Appendix k Algorithm of hernias treatment
(obligatory)
Preoperative examination
A
ccompanying
somatic
pathology
Decompensate Subcompensate Compensate Absent
Medicamentous
correction
Result Result
is negative is positive
Surgery is Surgical
contraindicated, treatment
surgical corset
Repair by local Alloplasty
tissues
Appendix l Algorithm of treatment of the strangulated hernia
(obligatory)
Acute pain, incarceration, vomiting
Preoperative examination
Accompanying somatic pathology
Decompensate Compensate Absent
Short-term
preoperative
preparation
Surgical Surgical
treatment treatment
Palliative Repair by local Alloplasty
correction tissues
(removal of
strangulation
without plasty)
Subject index
Acute appendicitis |
5, 28 |
Acute cholecystitis |
15,23 |
Acute pancreatitis |
15, 30, 35 |
Acute peritonitis |
92 |
Appendectomy |
18,19 |
Atypical perforation |
53, 55 |
|
|
Cholecystectomy |
31, 33 |
Cholecystostomy |
31 |
Choledocholithiasis |
24,26 |
Classifications: |
|
acute appendicitis |
6 |
acute cholecystitis |
23 |
acute pancreatitis |
40, 41 |
acute peritonitis |
94, 95, 96 |
hernias |
111, 112 |
perforated peptic ulcer |
53 |
peptic ulcer bleeding |
63 |
Colostomy |
87 |
Covered perforation |
53, 54 |
|
|
Endoscopic retrograde cholangiopancreatography |
28, 35,47 |
Endoscopic ultrasonography |
47 |
Enteroclysis |
79 |
|
|
Haematemesis |
63 |
Hernia’s strangulation |
120 |
|
|
Ileus |
89, 97 |
Inguinal herniorrhaphy |
120 |
|
|
Kalo trigonum |
32 |
Kehr’s point |
25 |
|
|
Laparostomy |
105 |
Large-bowel obstruction |
82, 84 |
|
|
McBurney point |
18 |
Melena |
63, 65 |
Mondor’s triad |
28, 53 |
|
|
Partial gastrectomy |
59 |
Perforated peptic ulcer |
16, 28, 50 |
Peptic ulcer acute haemorrhage |
60 |
Postcholecystectomy syndrome |
35 |
Pyloroduodenoplasty |
59, 75 |
|
|
Repair |
|
Bassini’s |
123, 125, 132 |
Girard’s |
128 |
Kimbarovsky’s |
128 |
Kukudganov’s |
128 |
Lichtenstein’s |
129 |
Martynov’s |
128 |
Mayo’s |
134, 135 |
McVay’s |
127 |
onlay prosthetic |
136 |
Postempsky’s |
128 |
prosthetic bridging |
136 |
Rudgi-Parlavecho’s |
132 |
sublay prosthetic |
137 |
Shouldice’s |
125 |
Spasokukotsky’s |
128 |
Right-side kidney colic |
17, 28 |
|
|
Second-look operations |
106 |
Sign: |
|
Bartomier’s |
8 |
Bergmann’s |
64 |
Blumberg’s |
7, 25, 54 |
Cullen’s |
42 |
Delafua’s |
53 |
Elicer’s |
53 |
Gobye’s |
42 |
Grey-Turner’s |
42 |
Grunvald’s |
42 |
Holsted’s |
42 |
Kehr’s |
25 |
Korte’s |
42 |
Kulenkampff’s |
16,17 |
Mondor’s |
42 |
Mayo-Robson’s |
42 |
Mendel’s |
65 |
Murphy’s |
25 |
Mussy’s |
25 |
Obrazcov’s |
8 |
Ortner’s |
25 |
psoas (Roup’s) |
8 |
Rozanov’s Ratner’s |
12 54 |
Rozdolsky’s |
8 |
Rovsign’s |
8 |
Sitkovsky’s |
8 |
Spizharny’s |
28 |
Ultrasonic “target” |
14 |
Voskresensky’s |
7, 42 |
Simple closure of perforation |
58 |
Small-bowel obstruction Taylor’s method |
75, 76, 79, 81 57
|
