The use of minimally invasive technologies in the treatment of acute surgical diseases of the abdominal cavity
EAES Academy. Ukhanov A. 07/05/22; 363098; P143
Prof. Dr. Aleksandr Ukhanov
Contributions
Contributions
Abstract
Aim – to evaluate main trends and outcomes of emergency surgical care among patients with acute surgical diseases of the abdominal cavity admitted to the Central City Clinical Hospital, Velikiy Novgorod, during 2011-2021.
Material and methods. During study period between 2011 and 2021, 12,535 patients with acute surgical diseases of the abdominal cavity were admitted to the Central City Clinical Hospital, 8,397 (67.0%) of those patients underwent surgical treatment. Among the operated patients, 5,237 (62.4%) underwent minimally invasive interventions using videolaparoscopy or puncture-drainage operations under ultrasound control. In 3,160 patients the surgical intervention was performed by laparotomy.
Results:
In the treatment of acute appendicitis and acute cholecystitis, the share of laparoscopic interventions was 99 and 98 %, respectively. There is an increasing trend in performing minimally invasive interventions for perforated gastric and duodenal ulcers, acute intestinal obstruction and acute pancreatitis treatment, where the rates of those procedures increased 5.9, 9.3 and 2.2 times, respectively, over the last five years.
Conclusion:
Expansion of the use of minimally invasive technologies in medical institutions of the second level, which includes the Central City Clinical Hospital in Velikiy Novgorod, which is an interdistrict center, allows to provide modern surgical treatment to the residents of rural and remote communities, and thereby increases the availability of specialized surgical care throughout the region.
Material and methods. During study period between 2011 and 2021, 12,535 patients with acute surgical diseases of the abdominal cavity were admitted to the Central City Clinical Hospital, 8,397 (67.0%) of those patients underwent surgical treatment. Among the operated patients, 5,237 (62.4%) underwent minimally invasive interventions using videolaparoscopy or puncture-drainage operations under ultrasound control. In 3,160 patients the surgical intervention was performed by laparotomy.
Results:
In the treatment of acute appendicitis and acute cholecystitis, the share of laparoscopic interventions was 99 and 98 %, respectively. There is an increasing trend in performing minimally invasive interventions for perforated gastric and duodenal ulcers, acute intestinal obstruction and acute pancreatitis treatment, where the rates of those procedures increased 5.9, 9.3 and 2.2 times, respectively, over the last five years.
Conclusion:
Expansion of the use of minimally invasive technologies in medical institutions of the second level, which includes the Central City Clinical Hospital in Velikiy Novgorod, which is an interdistrict center, allows to provide modern surgical treatment to the residents of rural and remote communities, and thereby increases the availability of specialized surgical care throughout the region.
Aim – to evaluate main trends and outcomes of emergency surgical care among patients with acute surgical diseases of the abdominal cavity admitted to the Central City Clinical Hospital, Velikiy Novgorod, during 2011-2021.
Material and methods. During study period between 2011 and 2021, 12,535 patients with acute surgical diseases of the abdominal cavity were admitted to the Central City Clinical Hospital, 8,397 (67.0%) of those patients underwent surgical treatment. Among the operated patients, 5,237 (62.4%) underwent minimally invasive interventions using videolaparoscopy or puncture-drainage operations under ultrasound control. In 3,160 patients the surgical intervention was performed by laparotomy.
Results:
In the treatment of acute appendicitis and acute cholecystitis, the share of laparoscopic interventions was 99 and 98 %, respectively. There is an increasing trend in performing minimally invasive interventions for perforated gastric and duodenal ulcers, acute intestinal obstruction and acute pancreatitis treatment, where the rates of those procedures increased 5.9, 9.3 and 2.2 times, respectively, over the last five years.
Conclusion:
Expansion of the use of minimally invasive technologies in medical institutions of the second level, which includes the Central City Clinical Hospital in Velikiy Novgorod, which is an interdistrict center, allows to provide modern surgical treatment to the residents of rural and remote communities, and thereby increases the availability of specialized surgical care throughout the region.
Material and methods. During study period between 2011 and 2021, 12,535 patients with acute surgical diseases of the abdominal cavity were admitted to the Central City Clinical Hospital, 8,397 (67.0%) of those patients underwent surgical treatment. Among the operated patients, 5,237 (62.4%) underwent minimally invasive interventions using videolaparoscopy or puncture-drainage operations under ultrasound control. In 3,160 patients the surgical intervention was performed by laparotomy.
Results:
In the treatment of acute appendicitis and acute cholecystitis, the share of laparoscopic interventions was 99 and 98 %, respectively. There is an increasing trend in performing minimally invasive interventions for perforated gastric and duodenal ulcers, acute intestinal obstruction and acute pancreatitis treatment, where the rates of those procedures increased 5.9, 9.3 and 2.2 times, respectively, over the last five years.
Conclusion:
Expansion of the use of minimally invasive technologies in medical institutions of the second level, which includes the Central City Clinical Hospital in Velikiy Novgorod, which is an interdistrict center, allows to provide modern surgical treatment to the residents of rural and remote communities, and thereby increases the availability of specialized surgical care throughout the region.
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