Profilaxis of Intraabdominal Adhesion in Patients with Mechanical Abdominal Trauma and Hemoperitoneum

The purpose of the study Through the development of complex of diagnostic and treatment, events organization, aimed at the prevention of the development of abdominal adhesions, improve the results of treatment of patients after surgery for a mechanical abdominal trauma, complicated haemoperitoneum. Material and methods For clinical study was performed 83 patients with open and closed mechanical trauma of the abdomen, complicated by haemoperitoneum. In dynamic screening was used self constructed diagnostic magnoimmunsorbs-test system based on the antigen commissural complex. Definition of indicators of hemostasis was carried out using by method of NGOs «RENAM». Results and their discussion Modified by author the test system on the basis of magnoimmunsorbs and immobilised adhesive antigen allows with the high per-formance to predict the development of intraabdominal adhesions, to control of results by antiadhesion therapy. Develop a pathogenetically justified complex of therapeutic measures, directed on elimination of hypoxia in the tissues, activity normalization of the fibrinolitic blood system, the appointment of the antiadhesion drug, the gradual application of physical therapy. This complex allow to bettering the treatment results , to decrease adhesion development in postoperative period from 65% to 12,1% i.m. in 5,4 times. Conclusion In patients operated due to abdominal trauma, hemoperitoneum was founded statistic improved condition of medium hipocoagulation, decreased activity of fibrinoliticic blood system. In identification of the dynamic changes in amount of positive reactions Ag+At in different titres of blood serum can be determined the therapy starting date and estimated its effectiveness.

Mechanical abdominal trauma, abdominal cavities, adhesion process, test-system, prognosis, treatment