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№4' 2014
SURGERYInternational Medical Journal, Vol. 20., Iss. 4, 2014, P. 27−31.
PREVENTION OF POSTOPERATIVE PARESIS AND SEPTIC COMPLICATIONS AFTER SURGERY ON THE COLON
Kharkiv National Medical University, Ukraine
V. T. Zaytsev Institute of General and Urgent Surgery, NAMS of Ukraine, Kharkiv, Ukraine
The work analyzes the results of treatment of 107 patients at the hospital of V. T. Zaytsev Institute of General and Emergency Surgery who were performed reconstructive and obstructive−reduction surgery on the colon. The complications in the postoperative period accompanied by paresis of the intestine were distinguished and described. Particular attention was paid to prevention and comprehensive treatment of septic complications accompanying any surgical intervention on the colon. It was found out that the use of the developed technique of endolymphatic injection of 1 % solution of serotonin adipinate at a dose of 10 mg per day and antibacterial drugs, taking into account individual sensitivity to them of the microflora through depulped inguinal lymph node intraoperatively and postoperatively improved the results of prevention and treatment of postoperative intestinal paresis and reduced the amount of purulent−septic complications to 5.7 % vs. 20 % in the controls.
Key words: colon resection, purulent−septic complications, antibiotic therapy, postoperative paresis, prevention.