IMPLEMENTATION OF PHYSICAL THERAPY FOR EMERGENCY ABDOMINAL SURGERY IN A SEPARATE SURGICAL DEPARTMENT
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2020.4.11812Keywords:
physical therapy, acute surgical pathology of the abdominal cavityAbstract
Summary. Theoretical and methodological justification of physical therapy in the treatment of acute surgical pathology of the abdominal cavity remains insufficiently studied and insufficiently covered in the literature, in particular due to the lack of a standard for its use, and poorly studied impact on treatment results.
The aim of the study – to learn the state of practical solution of the problem of physical therapy in the complex treatment of urgent abdominal surgical diseases in a separate general surgery department as a representative unit of care for patients with acute surgical pathology of the abdominal cavity.
Materials and Methods. The results of 420 inpatients’ treatment for acute surgical abdominal pathology during 2019 in the general surgical departments of two secondary health care facilities were retrospectively analyzed. The severity of patients was assessed according to the scale of anesthesiological assessment of the patient's physical condition before ASA II surgery and the prognosis of adverse effects according to the integrated risk assessment system for complications and mortality POSSUM (Physiologic and Operative Severity Score for the enumeration of Mortality and Morbidity), found a number of significant related and mutually aggravating factors that determined the severity of the disease and influenced the results of treatment.
Results. Given the results of a retrospective study of the treatment of acute surgical pathology of the abdominal cavity, the relevance of the scientific and applied problem of theoretical and methodological justification of physical therapy (PT) as an important integrated component of a comprehensive treatment of urgent surgical diseases was proven.
Conclusions. Further tasks to be solved are: identification of patterns, establishment of principles and methodological provisions, development of the concept, determination of application criteria, experimental verification of the effectiveness of the implementation provisions of the concept of physical therapy in the system of complex treatment of acute surgical pathology.
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