Method of diagnosis of bleeding into the abdominal cavity caused by double rupture of subcapsular hepatic hematoma

Authors

  • S. Y. Zaporozhan I. Horbachevsky Ternopil National Medical University
  • V. S. Khomenko I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2023.1.13808

Keywords:

intraabdominal bleeding, rupture of parenchymal organs

Abstract

The aim of the work: to develop an original, effective method of diagnosing intraabdominal bleeding as a result of damage to parenchymal organs.

Materials and Methods. Experimental studies were performed on laboratory pigs – males of the Vietnamese breed. The experiment was conducted on 30 of the specified animals weighing 10–12 kg. The pig was anesthetized and fixed on the operating table on its back. 6–8 ml of blood taken from the internal jugular vein was injected laparoscopically subcapsularly (under the fibrous membrane) of the right lobe of the liver. With the help of laparocentesis, a probe of the device for early diagnosis of intraabdominal bleeding with sensors in the pelvis was inserted into the free abdominal cavity. A day after the simulation of the subcapsular hepatic hematoma, rupture of the hepatic subca­psular hematoma was carried out by striking the right subcostal area. 5 seconds after the rupture of the subcapsular hepatic hematoma, the ingress of blood into the lumen of the free peritoneal cavity was determined using the developed original device.

Results and Discussion. The operation of the device for the early diagnosis of bleeding in the lumen of the free abdominal cavity is based on the action of two light sources with different radiation wavelengths, respectively, 460 and 620 nm, and the improvement of the signal processing scheme, which, due to the difference in the relative optical density of the liquid at the two wavelengths, respectively, leads to to the change in the current value through the photodetector. The obtained results proved the high efficiency of the device in the diagnosis of whole blood and blood diluted with physiological solution 1:14 in the abdominal cavity of all animals.

Conclusions. The developed device can be used to diagnose bleeding into the lumen of the peritoneal cavity due to two-moment rupture of subcapsular hematomas of the liver and spleen.

References

Boiko, V.V., Taraban, Y.A., Zamiatyn, P.N., & Cherniaev, N.S. (2010). Sovremennye aspekty diagnostiky i khirurgicheskogo lecheniya povrezhdeniy pecheny [Modern aspects of diagnosis and surgical treatment of liver injuries]. Kharkivska khirurhichna shkola – Kharkiv Surgical School, (6), 94-101.

Hohiia, M.O. (2021). Struktura abdominalnoi travmy ta yii naslidky [The structure of abdominal trauma and consequences]. The Journal of V. N. Karazin Kharkiv National University, 42-50 [in Ukrainian].

Kapshytar, O.O. (2020). Rol dodatkovykh metodiv doslidzhennia v diahnostytsi zakrytykh travm pechinky [The role of adjunctive follow-up methods in the diagnosis of closed liver injuries]. Editorial board, 326-329 [in Ukrainian]. DOI: https://doi.org/10.1016/S0165-0270(19)30369-3

Lavrinenko, A.S., & Chubuk, I.V. (2020). Porivniannia metodiv diahnostyky pry vnutrishnocherevnykh hematomakh pry zakrytii travmi zhyvota [Reconciliation of diagnostic methods for intracranial hematomas in case of closed abdominal trauma]. BBK, 79, 646 [in Ukrainian].

Mazurenko, O.V. (2018). Likuvalna taktyka pry travmakh parenkhimatoznykh orhaniv cherevnoi porozhnyny [Treatment tactics for injuries of parenchymal organs of the abdominal cavity]. Klinichna khirurhiia – Clinical Surgery, 85 (5), 66-69 [in Ukrainian].

Zaporozhan, S.I., Hnatiuk, M.S., Tatarchuk, L.V., Monastyryska, N.Ia. Patent na korysnu model №126514 «Sposib modeliuvannia pechinkovoi subkapsuliarnoi hematomy» vid 25.06.2018r. Biul № 12 [Utility model patent No. 126514 "Method of modeling subcapsular hepatic hematoma" dated 06/25/2018] [in Ukrainian].

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Published

2023-03-30

How to Cite

Zaporozhan, S. Y., & Khomenko, V. S. (2023). Method of diagnosis of bleeding into the abdominal cavity caused by double rupture of subcapsular hepatic hematoma . Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 28–31. https://doi.org/10.11603/2414-4533.2023.1.13808

Issue

No. 1 (2023)

Section

EXPERIMENTAL INVESTIGATIONS

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