Effect of operation technic on development of postoperative complications after appendectomy
https://doi.org/10.21886/2219-8075-2018-9-4-63-66
Abstract
Objective: to improve the results of treatment of patients with acute appendicitis. Te results of surgical treatment of 360 patients with acute appendicitis were presented.
Materials and methods: in predicting of development of intra-abdominal adhesions in patients afer appendectomy and of effectiveness of anti-adhesion therapy in postoperative period was used clinical, laboratorial (phenotype signs of connective tissue dysplasia syndrome, activity of the enzyme N-acetyltransferase, a test system based on sorbents with magnetic properties with immobilized granular antigen from adhesive tissue), instrumental methods of research. Te frst group included 120 (50%) patients who underwent standard appendectomy. In 120 patients with acute appendicitis (the second group) the elements of “Fast-Track” surgery was used in performing classical laparotomy appendectomy. Te third group consisted of 120 patients who underwent laparoscopic appendectomy.
Results: all patients with diagnosed adhesive process in the early stages of its development in postoperative period were provided with anti-adhesion therapy. Te least number of postoperative complications was observed in cases of multimodal approach to treatment of acute appendicitis.
Conclusions: application of “Fast-Track” surgery principles allowed to reduce development of intra-abdominal adhesion afer surgery compared with traditional appendectomy on 6.6 %, and with laparoscopic — on 2.8 %.
About the Authors
P. M. Lavreshin
Stavropol State Medical University
Russian Federation
Russian Federation
Peter M. Lavreshin, Doctor of Medical Sciences, Professor, Head of the General Surgery Department
Dovatorcev str. 37/5, 17, Stavropol. Phone: +7-8652-94-49-72
V. K. Gobedgishvili
Stavropol State Medical University
Russian Federation
Russian Federation
Vladimir K. Gobedjishvili, Candidate of Medical Sciences, Associated professor of the General Surgery Department
355035, Mendeleeva str., 4, 36. Stavropol. Phone: +7-8652-29-68-89
V. V. Gobedgishvili
Stavropol State Medical University
Russian Federation
Russian Federation
Vahtang V. Gobedjishvili, Candidate of Medical Sciences, Assistant of the General Surgery Department
355044, Pirogova str., 48/3, 7. Stavropol. Phone: +7-8652-73-53-58
E. V. Kochkarov
Stavropol State Medical University
Russian Federation
Russian Federation
Eldar V. Kochkarov, graduate student of the General Surgery Department
355000 Partizanskaya str., 2, 131. Phone: +79280298877
O. V. Vladimirova
Stavropol State Medical University
Russian Federation
Russian Federation
Oksana V. Vladimirova, Candidate of Medical Sciences, Associated professor of the General Surgery Department of
355047 Holodnii str.8. Stavropol. Phone: +7-905-413-33-40
References
1. Malik U.V., Smirnova S.V., Smolnikova M.V. New approaches to the diagnosis of acute appendicitis. Aktualnii voprocy razvitiya specializirovannoi medicinskoi pomoschi v respublike Tiva. 2010: 272- 274. (in Russ)
2. Sovtcov S.A. Acute appendicitis: what changed at the beginning of the new century? Surgery. 2013; 7: 37-42. (in Russ)
3. Fomin S.A. Diagnosis and treatment of acute appendicitis. 2010. (in Russ)
4. Simillis C., Symeonides P., Shorthouse A.J., Tekkis P.P. A meta-analysis comparing conservative treatment versus acute appendectomy for complicated appendicitis (abscess or phlegmon). Surgery. 2010; 147:818-829.
Review
For citations:
Lavreshin P.M., Gobedgishvili V.K., Gobedgishvili V.V., Kochkarov E.V., Vladimirova O.V. Effect of operation technic on development of postoperative complications after appendectomy. Medical Herald of the South of Russia. 2018;9(4):63-66. (In Russ.) https://doi.org/10.21886/2219-8075-2018-9-4-63-66
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