Liver transplantation: no one is safe from complications

According to the method, cut off from the donor right lobe of the liver, representing about60% of all body tissues, and its transplant recipient. Over a period of ataverage of 6 weeks, both sides of the regenerate to the size of the original liver.Reason ⇒⇒⇒
Views: 162

Male sterilization is reversible

over who bequeathed his skateboard, mountain biking and an invaluable collection of rap.Doctors have been working tirelessly on the problem of those people who once madevasectomy, but then changed his mind. It seems lost as a result of vasectomy detonation ⇒⇒⇒
Views: 177

In the U.S., once again ran out of donated blood

As told to Marty Evans, Red Cross is currently moves the blood supply to the U.S. to ensure that the hospital reserves for unforeseen situations. It was noted that even before the snowstorms blood supply consisted of three- ⇒⇒⇒
Views: 149

Failed American transplant proved fatal

According to ABC, the girl's parents did not express any objections to the off life-support systems, and this procedure was carried out in accordance with the law of North Carolina, in which the clinic is located.By mistake, doctors seventh ⇒⇒⇒
Views: 166

Men choose cosmetic surgery

the work of one of the ten affiliated plastic surgery clinics for 2002year, showing what procedures cosmetic surgery were the mostpopular with the British in the last year. It turned out that representatives of the stronghalf human ⇒⇒⇒
Views: 148

American surgeons have now signed on the body of the patient

operating with a healthy organ instead of the patient. Two thirds of errors accounted forwrong choice of a finger, and dozens of surgeons operated on the healthyhand, having mixed side of the body. The study was conducted in a campaign of America ⇒⇒⇒
Views: 152

American surgeons mistakenly operate on healthy

falls on the wrong choice of thumb, a few dozen surgeonsoperated on the healthy arm, having mixed side of the body. The study was conducted in a campaign the American Academy of OrthopaedicSurgeons (American Academy of Or ⇒⇒⇒
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Rational pharmacotherapy - factor in the successful treatment of hemorrhoids

nents of the conservative treatment of hemorrhoids are:diet with limited animal fats, coffee and hot spices, denial ofalcohol; careful hygiene anorectal region, useseating trays with antiseptics; correction of emotional disorders andformation of a positive mental install adequate treatment of hemorrhoids. Pharmacotherapy in surgical and minimally invasive treatment of hemorrhoids effectiveness of conservative therapy of hemorrhoids as an independent methodTreatment is generally not highly valued, as the disease continuesprogressing and degenerative changes of hemorrhoids and anorectalzone with time is also increasing. most radical causal treatment of hemorrhoids by many believe elective surgical hemorrhoidectomy , which is shown incomplications or IIIIV severity of hemorrhoids and done, according toliterature in 1030% of all patients. The operation is performed after theremission and in some cases leads to early or delayedcomplications. In the U.S. approximately 20% of patients develop disordersurination or infektsionnovospalitelnye diseases of the urinary tract, andat 2.4% of patients hemorrhoidal bleeding. In addition, the plannedhemorrhoidectomy involves long-term disablement andpainful post-operative period, during which the leading rolegets adequate pain relief and anti-inflammatory treatment. Emergency hemorrhoidectomy (not later than 72 hours afterdevelopment of symptoms) is indicated for acute thrombosed, disadvantaged orulcerated NG, as well as massive hemorrhoidal bleeding. In 25% of casesEmergency surgery followed by early postoperative complications. Moreover, according to a retrospective European study,conducted in 2000, about 10% of patients after emergency resection of nodesrequire re-operation, and an equal number of cases in the late perioddeveloped stenosis of the anal canal. hemorrhoids I, II severity, as well as a substantial proportion of patients withIII degree of cure can be successfully achieved by usingminimally invasive tool allowances, which are also conducted without exacerbationdisease. Common and least expensive methodminimally invasive care is ligation haemorrhoid asbberligature . Method is used to treat large internal and externalhemorrhoids, and it is to capture and drag a node asbberloop of 6 mm in diameter in the area insensitive to pain, mucous membrane, whichleads to necrosis and its subsequent rejection. Every 14 days, ligated toone site, for 36 procedures. Ligation can be complicated by perinealsepsis. Sclerotherapy shows a patient with hemorrhoids I and II severityhowever, appliedmorerarely due to a high risk of severe complications, suchas impotence, neurogenic bladder, liver abscesses, necrosis of the mucousmembrane of the rectum, when developing dystopia sclerosing agent. Among the safest and most effective today include infraredlight, radiovysokochastotnuyu and laser coagulation of hemorrhoids .The procedures are outpatient, with exposure to one Web site to the hemorrhoidalDuring one visit to a specialist. Coagulation of hemorrhoids is not accompanied bysystemic complications, but in 1020% of the effectiveness of treatmentis much smaller than expected. radical surgery and minimally invasive treatment of hemorrhoids is always associatedwith varying degrees of destasction of sites of damage (including chemical andthermal), the rectal mucosa and skin of the anorectalzone. The inevitable trauma of tissues requires adequate analgesia andanti-inflammatory therapy. With this purpose in the postoperative period mostcommonly prescribed systemic analgesics, including narcotic dasgs, in combination withNSAID. Local anti-inflammatory and fibrinolytic therapy, as well asregulation of tone of the internal sphincter of the rectum and defecation relief,after surgical treatment of hemorrhoids do not lose their relevance, since they haveaimed not only at the most rapid rehabilitation of the patient, but also hinderthe development of scarring and degenerative skin disease the anorectal regionstrictures, cracking and failure of the rectum. Thus, pharmacotherapyHemorrhoids and its complications is an integral part of perioperative treatmentand means of prevention of complications after invasive treatment of hemorrhoids. In most cases, hemorrhoids are benign, pervichnohronicheskior unmotivated with periodic exacerbations, leading toshort disability. However, a certain increase in symptomswith time and proportional to the frequency of exacerbations accounts for the desirePhysicians for a radical cure of hemorrhoids with the first treatment for the patientmedical care. On the other hand, among patients with widespread reluctanceundergo surgery on the hemorrhoids. This situationillustrated by reports of epidemiological studies performed annually in the U.S.which showed progressive reduction in the number of radicalsurgical operations for hemorrhoids. Thus, the number of surgicalhemorrhoidectomy in the United States declined from 165,000 in 1982 to 30,000 in 1994.Apparently, among the reasons for such a dramatic decrease in the number of surgicalhemorrhoidectomy not have the latest high total cost and traumaoperations, forcing patients to abandon curative treatment. COn the other hand, reduces the need for radical surgery inrecent decades has led the development of methods of conservative and minimally invasiveHemorrhoid treatment undertaken in the early stages of the disease, as well as relatedThis decrease in the number of emergency surgeries. want to believe that the development trend of non-invasive treatment of hemorrhoids andpromotes the development and implementation in practice of family and pre-hospitalMedicine thesis is the best strategy of treatment of hemorrhoids prevention.One of the most important places in the system Prevention of hemorrhoids is the correctionconstipation diet enriched with fiber, use sufficientamount of water and osmotically active nutrients such as juices,increased physical activity of patients. Prevention of hemorrhoids andinvolves ensuring the normal activity of the internal sphincter directintestine, coordinated with the propulsive function of the colon, which is achievedcorrection of emotional disturbances, no smoking and drinkingdasgs, as well as the timely delivery of rational dasgtherapy at the first symptoms of hemorrhoids. Literature: 1. Brisinda G. BMJ 2000 Sep 9 321 (7261) :582-3. 2. Basch HP, Roblick UJ. Chiasrg 2001 Jun; 72 (6): 6569 3. Janssen LW. Ned.Tijdschr. Geneeskd. 1994 Oct 15; 138 (42): 210609 4. Pfenninger JL. BMJ 1997; 314:12112. 5. Bleday R et al. Dis.Colon. Rectum. 1992 May; 35 (5): 47 781 6. Nagy A et al. Acta. Chir. Hung. 1998; 37 (12): 716 7. Wasvary HJ et al. Dis Colon Rectum 2001 Aug; 44 (8): 106973. 8. Perrotti P et al. Dis Colon Rectum 2001 Mar; 44 (3): 4059. 9. Briel JW, Zimmerman DD, Schouten WR. Int J Colorectal Dis 2000Aug; 15 (4): 2534. 10. Coskun A et al. B. Dis Colon Rectum 2001 May; 44 (5): 6805. 11. Diana G, Catanzaro M, Ferrara A et al. Clin Ter 2000 SepOct; 151 (5): 3414. 12. Pfenninger JL. BMJ 1997; 315:881881 a. 13. Pigot F. Rev Prat 2001 Jan 15; 51 (1): 215. 14. Dultchev Y.V., Rivkin V.L. Int.Surg. 1989 JanMar; 74 (1): 79 15. Kurbonov KM, Mukhabbatov DK, Daminova NM. Klin Khir 2000 Dec; (12): 334. 16. Ceulemans R, Creve U, Van Hee R et al. Eur J Surg 2000 Oct;166 (10): 80812. 17. MurrayLyon IM, Kirkham JS. Eur J Gastroenterol Hepatol 2001 Aug;13 (8): 9712. 18. Pilkington SA, Bateman AC, Wombwell S, Miller R. Ann R Coll Surg Engl2000 Sep; 82 (5): 3036. 19. Cheetham MJ et al. Lancet 2000 Aug 26; 356 (9231): 7303 20. Brisinda G. BMJ 2000 Sep 9, 321 (7261): 5823. 21. MullerLobeck H. Chiasrg 2001 Jun; 72 (6): 66776. Published with permission from Russian    Medical Journal .      ⇒⇒⇒
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Italian transplanted jaw

using tissue taken from the hands of the patient. In Italy each year, about 3 thousand patients with oral cancer.Most of them are - victims of smoking. In 15% of cases the tumor is too large forthat it can be ⇒⇒⇒
Views: 182

Pure oxygen heals wounds better than any drug

A study conducted by researchers from Ohio State University, participated30 patients with wounds of varying severity and origin - from surgical incisionsto the lacerations festered. In addition to the standard treatment for all patsie ⇒⇒⇒
Views: 189