Acute small intestine obstruction. Some possible directions of optimization of surgical treatment
DOI:
https://doi.org/10.11603/2414-4533.2022.4.13606Keywords:
acute obstruction of the small intestine, medical treatmentAbstract
The aim of the study: to improve the results of surgical treatment of patients with acute obstruction of the small intestine by optimizing the provision of medical care in hospital conditions.
Materials and Methods. A comprehensive clinical, instrumental and laboratory examination of 221 patients with acute obstruction of the small intestine was carried out. The index of comorbidity, the degree of compensation of the patient’s functional state, and the operative and anesthesiological index according to the ASA scale were determined.
Results and Discussion. The use of the proposed complex of surgical care during surgery and medication correction of motility of the alimentary canal after surgery made it possible to accelerate the recovery of the motor-evacuatory function of the stomach and intestines after various types of surgical treatment for 2–3 days, to switch to enteral nutrition in the early postoperative period, to reduce the amount of purulent of septic wound and respiratory complications and to reduce the terms of inpatient treatment of patients by almost 5 days. To increase the effectiveness of surgical treatment, there is an early restoration of the motility of the small intestine with the use of essential phospholipids, antioxidants, energy donors, calcium preparations or its antagonists, depending on the nature of peristalsis in the postoperative period.
References
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