Evaluation of long-term results of treatment of patients with complicated diabetic foot syndrome and determination of ways of rendering medical-social assistance
DOI:
https://doi.org/10.11603/2414-4533.2017.3.8112Keywords:
intestine, endoprosthesis, glue-omental composition, peritonitis.Abstract
The aim of the work: to develop the effective methods of surgical treatment of the pathology of hollow organs in conditions of peritonitis by protecting intestinal sutures and methods of preventing the progression of peritonitis.
Materials and Methods. The analysis of surgical interventions in the intestine in 149 patients under conditions of peritonitis with the restoration of its continuity was carried out. 109 patients made a control group, where traditional methods of restoration of intestinal restoration were carried out, and 40 – the main group, which protected the line of seams from the inside of the gut and outside. In all patients, decompression of the intestine through the rectum was performed. The rehabilitation of the abdominal cavity was carried out using solutions of antiseptics according to the developed technique. The effectiveness of the rehabilitation was controlled microbiological characteristics of the contents of the abdominal cavity before and after the rehabilitation.
Results and Discussion. The results of the study indicate that the use of resorption endoprosthesis and protection of the intestine gut line by adhesive-sucking compositions made it possible to significantly reduce the number of inadequacies of anastomosis sutures and, consequently, reduce the mortality rate. The most optimal protection of intestinal sutures in conditions of peritonitis is the supply from the lumen of the colon of biological resorption endoprosthesis to the glue, and on top of the anasto mosis of strengthening the line of seams with glue-sealant composition. Inflammation and trauma of tissues in the conditions of peritonitis dramatically increases (up to 76 %) the thrombosis of the interstitial vessels, which enhances the probability of inability of seams of intestinal anastomoses, in order to prevent the use of intravenous galvanophoresis with intravenous administration of drug mixtures, including large doses of antibiotics.
References
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