Hemorrhagic complications of pancreatitis in surgical practice
The objective of the study was to detect the frequency and sources of hemorrhagic complications in patients with pancreatitis, evaluate the tactics and effectiveness of methods of hemostasis. Material and methods. A retrospective analysis of hemorrhagic complications of pancreatitis was carried out...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2019-02-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/959 |
| _version_ | 1797877559543726080 |
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| author | L. A. Neledova D. V. Mizgiriov B. L. Duberman |
| author_facet | L. A. Neledova D. V. Mizgiriov B. L. Duberman |
| author_sort | L. A. Neledova |
| collection | DOAJ |
| description | The objective of the study was to detect the frequency and sources of hemorrhagic complications in patients with pancreatitis, evaluate the tactics and effectiveness of methods of hemostasis. Material and methods. A retrospective analysis of hemorrhagic complications of pancreatitis was carried out in 40 patients. Results. Bleeding developed mainly on the background of infected acute necrotic collections (77.8 %), the main source of bleeding was the splenic artery (37.0 %). Emergency laparotomy for bleeding was performed in 9 (22.5 %) patients, selective angiography was performed in 10 patients, it was effective only in 5 (50 %) cases. 12 (44.4 %) deaths were recorded in cases of arrosive bleeding. Conclusion. The preferred tactics in case of bleeding from the retroperitoneal space during minimally invasive treatment is crossclamping of drains and endovascular hemostasis. |
| first_indexed | 2024-04-10T02:20:14Z |
| format | Article |
| id | doaj.art-0ad72c5b9b4e4ab9904ffe4d38d2def1 |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:20:14Z |
| publishDate | 2019-02-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-0ad72c5b9b4e4ab9904ffe4d38d2def12023-03-13T08:09:17ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252019-02-011781555810.24884/0042-4625-2019-178-1-55-58963Hemorrhagic complications of pancreatitis in surgical practiceL. A. Neledova0D. V. Mizgiriov1B. L. Duberman2First clinical city hospital named after E.E. Volosevich; Northern State Medical UniversityFirst clinical city hospital named after E.E. Volosevich; Northern State Medical UniversityFirst clinical city hospital named after E.E. Volosevich; Northern State Medical UniversityThe objective of the study was to detect the frequency and sources of hemorrhagic complications in patients with pancreatitis, evaluate the tactics and effectiveness of methods of hemostasis. Material and methods. A retrospective analysis of hemorrhagic complications of pancreatitis was carried out in 40 patients. Results. Bleeding developed mainly on the background of infected acute necrotic collections (77.8 %), the main source of bleeding was the splenic artery (37.0 %). Emergency laparotomy for bleeding was performed in 9 (22.5 %) patients, selective angiography was performed in 10 patients, it was effective only in 5 (50 %) cases. 12 (44.4 %) deaths were recorded in cases of arrosive bleeding. Conclusion. The preferred tactics in case of bleeding from the retroperitoneal space during minimally invasive treatment is crossclamping of drains and endovascular hemostasis.https://www.vestnik-grekova.ru/jour/article/view/959pancreatitishemorrhagic complicationspseudoaneurysmarrosive bleeding |
| spellingShingle | L. A. Neledova D. V. Mizgiriov B. L. Duberman Hemorrhagic complications of pancreatitis in surgical practice Вестник хирургии имени И.И. Грекова pancreatitis hemorrhagic complications pseudoaneurysm arrosive bleeding |
| title | Hemorrhagic complications of pancreatitis in surgical practice |
| title_full | Hemorrhagic complications of pancreatitis in surgical practice |
| title_fullStr | Hemorrhagic complications of pancreatitis in surgical practice |
| title_full_unstemmed | Hemorrhagic complications of pancreatitis in surgical practice |
| title_short | Hemorrhagic complications of pancreatitis in surgical practice |
| title_sort | hemorrhagic complications of pancreatitis in surgical practice |
| topic | pancreatitis hemorrhagic complications pseudoaneurysm arrosive bleeding |
| url | https://www.vestnik-grekova.ru/jour/article/view/959 |
| work_keys_str_mv | AT laneledova hemorrhagiccomplicationsofpancreatitisinsurgicalpractice AT dvmizgiriov hemorrhagiccomplicationsofpancreatitisinsurgicalpractice AT blduberman hemorrhagiccomplicationsofpancreatitisinsurgicalpractice |