Status of systemic microcirculation in patients with adhesive intestinal ob¬struction depending on the type of surgical interventions
DOI:
https://doi.org/10.11603/2414-4533.2018.1.8861Keywords:
adhesive intestinal obstruction, microcirculatory channel, laser Doppler flowmetry, perfusion of peripheral tissues, surgical treatment.Abstract
Introduction. The article is devoted to the study of the state of systemic microcirculation in patients with acute adhesive obstruction depending on the type of surgical intervention
The aim of the work – to assess the state of systemic microcirculation after various types of surgical interventions for adhesive intestinal obstruction
Materials and Methods. The results of treatment of 57 patients with acute adhesive intestinal obstruction were obtained. For analysis of the microcirculatory channel and regulatory mechanisms, laser Doppler was used in patients, depending on the type of surgical intervention.
Results and Discussion. It was established that irrespective of the type of surgical intervention in the postoperative period, changes in the blood flow to peripheral tissues were detected, as well as the violation of the relationship between the main regulatory mechanisms that could affect systemic perfusion. The most profound changes were detected with increasing disease severity. These changes can affect the development of complications in the postoperative period, thus complicating the course of the disease. Taking into account the obtained data, it is necessary to include in the complex
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