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[The factors affecting the results of mechanical jaundice management]
I S Malkov1, R Sh Shaimardanov1, V N Korobkov1
1Kazan State Medical Academy, Health Ministry of the Russian Federation.
Aim:
To improve the results of obstructive jaundice management by rational diagnostic and treatment strategies.
Material And Methods:
Outcomes of 820 patients with obstructive jaundice syndrome were analyzed.
Results:
Diagnostic and tactical mistakes were made at pre-hospital stage in 143 (17.4%) patients and in 105 (12.8%) at hospital stage. Herewith, in 53 (6.5%) cases the errors were observed at all stages. Retrospective analysis of severe postoperative complications and lethal outcomes in patients with obstructive jaundice showed that in 23.8% of cases they were explained by diagnostic and tactical mistakes at various stages of examination and treatment.
Conclusion:
We developed an algorithm for obstructive jaundice management to reduce the number of diagnostic and tactical errors, a reduction in the frequency of diagnostic and tactical errors. It reduced the number of postoperative complications up to 16.5% and mortality rate to 3.0%.
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