Ways to Improve the Results of Treatment of Patients with Acute Mesenteric Circulation

  • Authors: 1, 2, 3
  • Affiliations:
    1. 1. Самарский государственный медицинский университет 2. Самарская городская клиническая больница №1 им. Н.И.Пирогова
    2. Самарский государственный медицинский университет
    3. Самарская городская клиническая больница №1 им. Н.И.Пирогова
  • Issue: Vol 9, No 1 (2016)
  • Pages: 19-23
  • Section: Original articles
  • URL: https://vestnik-surgery.com/index.php/journal/article/view/791
  • DOI: https://doi.org/10.18499/2070-478X-2016-9-1-19-23
  • Cite item

Abstract


The purpose of our research was improvement of results of an extensive resection of a small intestine at patients with sharp violation of mesaraic blood circulation due to the rational choice of a way of completion of this operation.
Materials and methods. Research includes 44 patients with sharp violation of mesaraic blood circulation, who has executed an extensive resection of a small intestine against the background of purulent peritonitis. The resection was completed with formation of a temporary terminal eyunostoma or an eyunostomy by Maydl. Factors was identified, which reveals statistically significant impact on a lethality at this group of patients (values on integrated scales of MIP and SAPS).
Results and their discussion. It is established that length of the remaining part of a small intestine can't be the factor constraining formation of a temporary terminal eyunostoma. On the basis of the received results the surgical algorithm which is successfully applied at 28 patients of the main group that has allowed to lower a lethality from 86,4% to 68% is developed.
Conclusion. After a resection of a small intestine at patients with peritonitis owing to sharp violation of mesaraic blood circulation the preference should be given to a temporary terminal eyunostoma.


1. Самарский государственный медицинский университет 2. Самарская городская клиническая больница №1 им. Н.И.Пирогова

Email: smelkinda@mail.ru

Russian Federation

1. аспирант кафедры хирургии 

2. врач - хирург 

Самарский государственный медицинский университет

Author for correspondence.
Email: korymasov@mail.ru

Russian Federation доктор медицинских наук, профессор, заведующий кафедрой и клиникой хирургии

Самарская городская клиническая больница №1 им. Н.И.Пирогова

Email: babaev2008@mail.ru

Russian Federation врач-хирург отделения хирургии №7

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