EFFECTIVENESS OF LAPAROSCOPIC TREATMENT OF ABDOMINAL TUBERCULOSIS
Abstract
Aim. To improve the results of diagnosis and surgical treatment of abdominal forms of tuberculosis using video laparoscopy.
Material and methods. The work is based on the analysis of the results of the diagnosis and treatment of 106 patients who were on treatment for AT. Patients were divided into two groups. The first group included 60 (56.6%) patients who underwent laparoscopic interventions, the second group - 46 (43.4%) patients treated with traditional open interventions. There were 48 men (45.3%), and 58 women (54.7%). The diagnosis of abdominal tuberculosis is based on the analysis of complaints, anamnesis, objective examination, laboratory, and instrumental methods of examination.
Results and discussion. According to clinical and morphological criteria, the most common form was the exudative form 30 (28,3%). The exudative adhesive form was confirmed in 25(23,6%) of cases with video laparoscopy, and in 28 (26,4%) cases with laparotomy. The caseous-ulcerative form was detected in 6 patients of the main group and in 3 patients of the control group. Postoperative complications were noted in 3 (5.0%) patients of the main group, in 6 (13.0%) patients of the control group.
Conclusions. Video-laparoscopy in emergencies can reduce the time to establish a final diagnosis by 60%, and reduce the number of adverse outcomes in patients with AT by 45%.
About the Authors
F. I. Makhmadov
State institution “Istiklol health complex”;
Department of Surgical Diseases №1 Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Makhmadov Farukh Isroilovich - deputy director; Ph.D.
M. S. Asoev
Department of Surgical Diseases №1 Avicenna Tajik State Medical University
Tajikistan
Tajikistan
М. М. Umarov
Tajikistan
Sh. A. Abdunazarov
Tajikistan
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Review
For citations:
Makhmadov F.I., Asoev M.S., Umarov М.М., Abdunazarov Sh.A. EFFECTIVENESS OF LAPAROSCOPIC TREATMENT OF ABDOMINAL TUBERCULOSIS. Health care of Tajikistan. 2020;(3):21-28. (In Russ.)
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