Навчально-науковий медичний інститут (НН МІ)
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Item Дифференцированный подход к лечению спаечной непроходимости кишечника(Министерство здравоохранения Азербайджанской республики, 2020) Бойко, Віталій Миколайович; Бойко, Виталий Николаевич; Boiko, Vitalii Mykolaiovych; Микитин, Василь Зіновійович; Микитин, Василий Зиновьевич; Mykytyn, Vasyl Zinoviiovych; Пак, Василь Якович; Пак, Василий Яковлевич; Pak, Vasyl Yakovych; Пиндзин, Д.М.; Пындзын, Д.М.; Pyndzyn, D.M.; Сікора, Владислав Володимирович; Сикора, Владислав Владимирович; Sikora, Vladyslav Volodymyrovych; Линдін, Микола Сергійович; Лындин, Николай Сергеевич; Lyndin, Mykola SerhiiovychThe study was conducted to develop an individualized treatment tactics and clarify the place of the endovideolaparoscopic method in the treatment of acute adhesive intestinal obstruction. The results of treatment of 80 patients operated on for acute intestinal adhesive obstruction, divided intotwo groups, were analyzed: - Comparisons included 43 patients operated on from laparotomy access; - the 18main – 37, which used the proposed therapeutic and diagnostic approach. All patients underwent the small intestine intubation, followed by decompression, intraintestinal lavage, selective decontamination, enterosorption, enteral tube feeding. When evaluating the results of treatment of patients of both groups studied, laparoscopic technique was established as a priority. Peristalsis in patients of the second group was restored almost 2 times faster. The leukocyte index of intoxication and C-reactive blood protein returned to normal on the fifth day to 0.5 and 110.3 mg / ml, respectively. Postoperative complications in patients of the first group were 15, in the second 5, and mortality was 7.0% and 2.7%, respectively. For two years after surgery, recurrence of peritoneal adhesive disease in the first group was 35.3%, in the second 5.4%.