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Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452
ISSN 2500-0780
ПИ №ФС77-57452
LONG-TERM RESULTS OF SURGICAL TREATMENT OF PATIENTS AFTER RELAPAROTOMII
Shakirova A.R. 1
Smolkina A.V. 1
Khusainov Sh.I. 1
Gerasimov N.A. 1
Barinov D.V. 1
Rogova Yu.Yu. 1
Prokina E.F. 1
1 FGBOU VPO «Ulyanovsk State University.» Ulyanovsk
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The aim of this study was to investigate the long-term outcome in patients undergoing relaparotomii depending on the nature of post-operative complications. The main part of the study was a retrospective analysis of the results of in-depth research and treatment of 354 patients with diseases of the abdominal organs, which were divided into two groups. The core group – 120 patients with postoperative intraabdominal complications, need to perform repetitive operations. Comparison group consisted of 234 patients operated on an emergency basis on the abdominal organs, which were not repeated surgeries. Analysis of long-term results show an increase in the number of poor results in patients undergoing relaparotomii. The quality of life of patients after repeated surgery was significantly reduced in GSRS questionnaire compared with patients who were not relaparotomii. In the late period after relaparotomii 30.0% of patients were operated on again about: acute adhesive intestinal obstruction – (14.7 %), postoperative ventral hernia – (12.4 %), abdominal abscess (0.8 %), reconstructive surgery on the gut – (3.3 %), ligature abscess scar – (0.8%), residual choledocholithiasis – (1.7 %), pancreatic necrosis – (0.8 %), duodenal ulcer complicated by stenosis – (0.8 %). Prevention of intra-abdominal complications should be carried out on the primary stage of the surgery and management of early postoperative period and concluded: in the optimal choice of the method and extent of the procedure, a thorough revision, sanitation and drainage of the abdominal cavity; fight infection and stimulate the body’s defenses, the normalization of homeostasis, wrestling with the attendant complications.