Acute postoperative perforated ulcers of the small bowel as a topical problem of modern surgery
https://doi.org/10.24884/0042-4625-2019-178-2-33-37
Abstract
The objective is to study acute perforated ulcers of the small bowel, which arise as a complication after operations on the abdominal and pelvic organs.
Material and methods. A retrospective analysis of patient’s cases whose postoperative period was complicated by the development of acute perforated ulcers of small bowel.
Results. Over the past 20 years, the frequency of this complication increased by 8 times. In the structure of primary nosology, various types of oncological diseases prevail (69.4 %), moreover most patients underwent emergency operations. Most often, this complication occurred on the 4–10th day of the postoperative period, and the ulcers were multiple. Among these patients, there was an extremely high mortality rate of 74.2 %.
Conclusion. Considering the significant increase in the number of this complication in recent years and the high level of mortality among patients, a detailed study of acute perforated ulcers of the small intestine of the postoperative period is necessary.
About the Authors
V. P. Zemlyanoy
North-Western State Medical University named after I. I. Mechnikov.
Russian Federation
Russian Federation
Viacheslav P. Zemlyanoy.
47 Piskarevskii street, St. Petersburg, Russia, 195067.
A. B. Singaevskiy
North-Western State Medical University named after I. I. Mechnikov.
Russian Federation
Russian Federation
Andrei B. Singaevskiy.
47 Piskarevskii street, St. Petersburg, Russia, 195067.
D. V. Gladyshev
City Hospital №40 of Kurortny District.
Russian Federation
Russian Federation
Dmitrii V. Gladyshev.
St. Petersburg.
N. M. Vryblevskiy
City Hospital №40 of Kurortny District.
Nikolai M. Vryblevskiy.
St. Petersburg.
E. M. Nesvit
North-Western State Medical University named after I. I. Mechnikov.
Evgeniya M. Nesvit.
Corresponding author: Evgeniya M. Nesvit, North-Western State Medical University named after I. I. Mechnikov, 47 Piskarevskii street, St. Petersburg, Russia, 195067.
M. A. Efendieva
North-Western State Medical University named after I. I. Mechnikov.
Marina A. Efendieva.
47 Piskarevskii street, St. Petersburg, Russia, 195067.
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Review
For citations:
Zemlyanoy V.P., Singaevskiy A.B., Gladyshev D.V., Vryblevskiy N.M., Nesvit E.M., Efendieva M.A. Acute postoperative perforated ulcers of the small bowel as a topical problem of modern surgery. Grekov's Bulletin of Surgery. 2019;178(2):33-37. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-2-33-37
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