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  • Title: [Outcome of surgical treatment of acute cholecystitis at different phases of the disease].
    Author: Zbykovskaia LA.
    Journal: Vestn Khir Im I I Grek; 1975 Sep; 114(9):25-30. PubMed ID: 1198796.
    Abstract:
    Due to some features in the clinical course of acute cholecystitis operative interventions may be performed in different terms. "Emergency" operations are performed on vital indications during the first day of patient's stay at the hospital; "urgent" operations are indicated, if there is no improvement in patients' status despite energetic conservative measures with antibiotics during 2-6 days. Delayed surgery is accomplished following the subsidence of clinical signs of the inflammatory process and adequate investigation of the object. Delay operations are certainly more advantageous, nevertheless in established diagnosis of suppurative inflammation in the gallbladder the expectation policy and persistant conservative therapy are hazardous because of a possibility of development of grave and multiple complications. A question of indications to emergency operations should be solved, if possible, during the first day of patients' stay at the hospital. According to the author's material the mortality rate after emergency operations was 3.1%, after urgent procedures--10%, and delayed operations--1.6%. An average per cent of the mortality in surgical therapy for acute cholecystitis makes 4.3%.
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