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IATROGENES OF MANIPULATOR CHARACTER IN ABDOMINAL SURGERY

https://doi.org/10.24884/0042-4625-2013-172-5-046-050

Abstract

The authors analyzed the data of 281 cases of iatrogenes of manipulator character in abdominal surgery in order to investigate the circumstances and character of origin. There were 187 cases of operative confirmation and 84 cases of unintentional intraoperative retained foreign bodies. It was detected, that primary planned intervention of higher category of complexity should be related to the high risk group of the development of the operative confirmation. Retained foreign bodies with soft fabric base were diagnosed in early postoperative period as the result of the beginning of postoperative complications. The retained foreign bodies with tough backer material as a rule didn’t cause the complications in early postoperative period. They were diagnosed in long-term postoperative period in majority of cases.

About the Authors

V. M. Unguryan
Dzhanelidze Research Institute of Emergency Medicine
Russian Federation


M. V. Grinyov
Dzhanelidze Research Institute of Emergency Medicine
Russian Federation


A. E. Demko
Dzhanelidze Research Institute of Emergency Medicine
Russian Federation


S. A. Povzun
Dzhanelidze Research Institute of Emergency Medicine
Russian Federation


References

1. Бахчевников В. В. Последствия непреднамеренного интраоперационного оставления инородных тели их судебномедицинская оценка: Автореф. дис. … канд. мед. наук. СПб., 2000.

2. Власов А. Ф. Инородные тела, ошибочно оставленные при оперативных вмешательствах: Автореф. дис. … канд. мед. наук. Казань, 1985.

3. Гринёв М. В. Циторедуктивная хирургия. СПб.: Гиппократ, 2003.

4. Гринёв М. В., Бромберг Б. Б. Ишемия — реперфузия — универсальный механизм патогенеза критических состоянийв неотложной хирургии // Вестн. хир. 2012. № 4. С. 94–100.

5. Даль В. И. Толковый словарь живого великорусского языка. М.: Русский язык, 1989. Т. 1.

6. Зайратьянц О. В. Формулировка диагноза при ятрогенных патологических процессах: Метод. реком. М., 2005.

7. Седов В. М. Ятрогения. СПб.: Человек, 2010.

8. Тимофеев И. В. Патология лечения. СПб.: Северо-Запад, 1999.

9. Bosman E., Veen E. J., Roukema J. A. Incidence, nature and impact of error in surgery // Br. J. Surg. 2011. Vol. 98, № 11. P. 1654–1659.

10. Lincourt A. E., Harvell A., Cristiano J. Retained foreign bodies after surgery // J. Surg. 2007. Vol. 138. P. 170–174.

11. Brennan T. A., Leape L. L., Larid N. M. et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991 // Qual. Saf. Health Care. 2004. Vol. 13, № 2. P. 145–151.

12. Schoenenberger R. A., Perruchoud A. P. Dealing with errors in medicine // Praxis (Bern). 1998. Vol. 87, № 51–52. P. 1793–1797.

13. Sox H. C. Jr., Woloshin S. How many deaths are due to medical error? Getting the number right // Eff. Clin. Pract. 2000. Vol. 3, № 6. P. 277–283.


Review

For citations:


Unguryan V.M., Grinyov M.V., Demko A.E., Povzun S.A. IATROGENES OF MANIPULATOR CHARACTER IN ABDOMINAL SURGERY. Grekov's Bulletin of Surgery. 2013;172(5):046-050. (In Russ.) https://doi.org/10.24884/0042-4625-2013-172-5-046-050

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