Клінічна хірургія (Apr 2018)

Changes in microcirculatory bed while performing operative interventions for adhesive ileus

  • І. М. Dyakalo,
  • V. V. Bukata,
  • А. V. Chornomydz

DOI
https://doi.org/10.26779/2522-1396.2018.04.15
Journal volume & issue
Vol. 85, no. 4
pp. 15 – 18

Abstract

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Objective. To investigate the state of microcirculation (МC) in the patients, suffering adhesive ileus (AI) in іntraoperative period. Маterials and methods. The changes in peripheral MC in patients, suffering AI, through the operative intervention performance, using laser Doppler flowmetry, were analyzed. Results. During operative intervention performance the changes in the peripheral tissues perfusion and in regulatory mechanisms occur, influencing the microcirculatory bed (МCB) state. Most severe changes were registered in the end of operative intervention. The indices comparison was done, which were оbtained while doing laparotomic and laparoscopic operative interventions, and it have been shown, that application of miniinvasive technologies is accompanied by slower and less severe changes in the tissues perfusion, than while application of the open access operations. Conclusion. The changes in MCB revealed permit to suggest, that intraoperatively a significant disorders in MC occur, which may cause serious worsening of postoperative period course. The impact on the intraoperative MC state improves the disease course significantly and prevents the severe complications occurrence in patients, suffering AI.

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