MINILAPAROTOMIC TECHNOLOGIES IN DIAGNOSIS AND TREATMENT OF POSTOPERATIVE INTRA-ABDOMINAL COMPLICATIONS

Abstract

Aim. To improve the results of surgical treatment of intra-abdominal postoperative complications at the expense of differentiated use of minilaparotomic and endovideosurgical technologies. Materials and methods. Treatment of 617 patients who underwent repeated operative interventions on abdominal organs in connection with different early postoperative intra-abdominal complications were analyzed. Mini-invasive repeated medicodiagnostic operative interventions were performed in 268 (56,4%) cases for acute destructive pancreatitis and its complications, in 65 (13,7%) cases – regarding postoperative biliary complications, in 37 (7,8%) – postoperative appendectomy complications, 31 (6,1%) – postoperative stomach and bowel complications. For the purpose of making prognosis of early postoperative intra-abdominal complications and diagnosis of intra-abdominal hypertensive syndrome, 95 patients underwent indirect measurement of intra-abdominal pressure. Results. Intra-abdominal pressure monitoring with determination of the degree of intra-abdominal hypertension was the basic factor for choosing the tactics of further surgery. The developed algorithm of surgical tactics permitted to decrease the number of relaparotomies to 142 (23%).

Keywords

Minilaparotomy / relaparoscopy / intra-abdominal hypertension syndrome / intra-abdominal pressure

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RIGHTS & PERMISSIONS

Samartsev V.A., Sandakov P.Y., Busyrev Y.B., Zinets S.I., Osokin A.S., Gavrilov V.A.