In this article the work of the Omsk State Medical Academy's department of general surgery is presented. The aim of study was tot treat patients with purulent and necrotic wounds of soft tissue by using novel hydrodynamical drainaige. In this research 92 patients were taken part, who were inpatient treatment in the department of purulent surgery City Clinical Hospital № 1 named Kabanov A. N. 2010-2013 with purulent and necrotic wounds of soft tissue. Clinical, laboratory, cytological, bacteriological monitoring were conducted over the of wound process during the treatment. Assessment of the reliability of differences between the mean value of clinical indicators was with the calculation of the criterion t -Student, the method x2 and Criterion Mann -Whitney U. The proposed method of treatment of purulent wound promotes fast the removal of necrotic tissue and pus in the first phase of the wound process that led to more rapid relief of symptoms of intoxication (fever, leukocytosis and common symptoms) at the patients of the basic group. Due to faster removal of necrotic tissue, reduction of common symptoms of intoxication at the patients of the basic group the transition from degenerative and inflammatory type of cystograms to regenerative occurred one or two days before than in the comparison group.

Нами проведен ретроспективный анализ 870 историй болезни пациентов с разной патологией ЖП за период с 01.01.13 по 31.12.14. Ключевые слова: лапароскопическая холецистэктомия, хирургия желчного пузыря, желчнокаменная болезнь.The article summarizes the experience of laparoscopic cholecystectomy in a general hospital in Omsk for the period of time from 01.01.13 till 31.12.14. During this period, 870 patients with various diseases of the gallbladder were operated. 612 of these surgeries were elective. Patients with emergency operations, were operated on the same day, after a short preoperative preparation. In the most cases, surgery was performed by standard methods using 4 trocars. 40 patients with adynamic constitution, with a small amount of abdominal cavity, without adhesions were operated with three punctures. Doctors managed to make choledocholitoextraction and drainage of the common bile duct in conjunction with laparoscopic cholecystectomy by endoscopic method in7 patients with choledocholithiasis. As a result, six of the patients were discharged from the hospital in a day, 140 -in 2 days, and the majority -in 3-5 days after surgery.

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