Journal Title: Клінічна хірургія
ISSN: 0023-2130 (Print); 2522-1396 (Online)
Publisher: Liga-Inform ltd.
Society/Institution: Association of Surgeons of Ukraine, A.A.Shalimov National Institute of Surgery and Transplantology
LCC Subject Category: Medicine: Surgery
Country of publisher: Ukraine
Language of fulltext: Russian, Ukrainian
Full-text formats available: PDF
І. М. Dyakalo
(Gorbachevskyi Теrnopil State Medical University)
V. V. Bukata (Gorbachevskyi Теrnopil State Medical University)
А. V. Chornomydz (Gorbachevskyi Теrnopil State Medical University)
Abstract | Full Text
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.