Algorithm and Instrumental and Technical Complex to Prevent Infectious Complication in Acute Intestinal Obstruction
The aim of the study is to increase the effectiveness of complex treatment of patients with acute intestinal obstruction by using new operative and instrumental technologies for prevention and treatment of infectious complications.
Materials and Methods. The study is based on the analysis of the results of treatment of 132 patients operated on for acute intestinal obstruction. In the main group there have been used the developed algorithm of control of biophysical alterations of abdominal parameters and an instrumental and technical complex for atraumatic suture of laparotomy wound using the device of control of tissue tension force and intra-abdominal pressure. To match the edges of laparotomy wound and put stitches there has been used a new model of a needle abdominal wound contractor.
Results. Direct correlation dependence between an intra-abdominal pressure increase and the development of systemic inflammatory response has been determined. Microbial spectrum of abdominal cavity and the role of hemolytic strains in the development of systemic inflammatory response and infectious complications have been studied. Due to the application of the developed algorithm and an instrumental and technical complex, the frequency of wound and intra-abdominal infectious complications has been reduced from 18,9 to 8,1%.
