RESONANT STIMULATION IN THE PREVENTION AND TREATMENT OF INTESTINAL MOTILITY DISORDERS IN PATIENTS WITH SECONDARY PERITONITIS

Архив в PDF формате
Дата публикации статьи в журнале:
Название журнала: Восточно Европейский Научный Журнал, Выпуск: , Том: , Страницы в выпуске: -
Автор: Fomin V.S. FSBEI HE "Moscow State Medical Stomatological University n.a. A.I. Evdokimov" of RMH, Moscow, Russian Federation
, ,
Анотация: Abstract. The problem of treating patients with peritonitis remains relevant, despite the significant progress in the pharmacological treatment and nursing of patients in the intensive care units. The risk of paresis increases with SIRS (p <0.01), combined pathology (p = 0.02), a high degree of anesthetic risk (p = 0.01), after surgery using laparotomy and high Mannheim peritonitis index. These data dictate the need of the prevention of intestinal motility disorders in the early postoperative period. One of the solutions to this problem should be considered the introduction of the principles of electrophysiological exposure to stimulate the motor-evacuation function of the intestine in the early postoperative period. Application of resonance stimulation is safe for the patient and allows imposing the peristaltic rhythm of the intestine even during the phase of physiological postoperative paresis (during the first 72-96 hours).
Ключевые слова: Key words: peritonitis, postoperative intestinal motility disorders, resonance stimulation, prevention of postoperative ileus  
Данные для цитирования: Fomin V.S. FSBEI HE "Moscow State Medical Stomatological University n.a. A.I. Evdokimov" of RMH, Moscow, Russian Federation, . RESONANT STIMULATION IN THE PREVENTION AND TREATMENT OF INTESTINAL MOTILITY DISORDERS IN PATIENTS WITH SECONDARY PERITONITIS. Восточно Европейский Научный Журнал. Медицинские науки. ; ():-.



Список литературы: Reference. 1. Mabewa A, Seni J, Chalya PL. et al. Etiology, treatment outcome and prognostic factors among patients with secondary peritonitis at Bugando Medical Centre, Mwanza, Tanzania. World J Emerg Surg. – 2015 - Vol.10. – №.47. – PP.1-7 2. van Ruler O, Boermeester MA. Surgical treatment of secondary peritonitis: A continuing problem. Die chirurgische Therapie der sekundären Peritonitis. Ein weiter andauerndes Problem. Chirurg. – 2016. – Vol.88. – Suppl.1. - PP.1-6. 3. Opmeer BC, Boer KR, van Ruler O. et al. Costs of relaparotomy on-demand versus planned relaparotomy in patients with severe peritonitis: an economic evaluation within a randomized controlled trial. Crit Care. – 2010. – Vol.14. - №3. - R97. 4. Schein M. Surgical management of intra-abdominal infection: is there any evidence? Langenbecks Arch Surg. – 2002. – Vol.387. - №1. – РР.1–7. 5. Mäkelä JT, Kiviniemi H, Ohtonen P, Laitinen SO. Factors that predict morbidity and mortality in patients with perforated peptic ulcers. European Journal of Surgery. -2002. -Vol.168. - №8–9. PP.446–451. 6. Kirkpatrick AW, Coccolini F, Ansaloni L. et al. Closed or open after source control laparotomy for severe complicated intra-abdominal sepsis (the COOL trial): study protocol for a randomized controlled trial. World J Emerg Surg. – 2018. – Vol.13. - №26. – РР.1-16. 7. Bader FG, Schröder M, Kujath P. et al. Diffuse postoperative peritonitis -- value of diagnostic parameters and impact of early indication for relaparotomy. Eur J Med Res. – 2009. – Vol.14. - №11. – РР.491-496. 8. Billing A, Frohlich D, Schildberg FW. Prediction of outcome using the Mannheim peritonitis index in 2003 patients. Peritonitis Study Group. Br J Surg. – 1994. – Vol.81. - №2. – РР. 209–213. 9. Malbrain ML, De laet I, Cheatham M. Consensus conference definitions and rec- ommendations on intra-abdominal hypertension (IAH) and the abdominal compartment syndrome (ACS)--the long road to the final publications, how did we get there? Acta Clin Belg. – 2007. – Vol.62. - №1. – PP.44–59. 10. Yakovenko VN, Fomin VS, Bobrinskaya IG. The main directions of development of electrogastroenterography and restoration of coordination of digestive tract contractions in patients with surgical profile. Khirurgicheskaya praktika. – 2017. - №3. – PP.5–11. (In Russ.). 11. Kron IL, Harman PK, Nolan SP. The measurement of intra-abdominal pressures as criterion for abdominal re-exploration. Ann. Surg. – 1984. – Vol.199. – PP.28–30. 12. Pusajó JF, Bumaschny E, Doglio GR. et al. Postoperative intra-abdominal sepsis requiring reoperation. Value of a predictive index. Arch Surg. – 1993. – Vol.128. – PP.218-222. 13. Dindo D, Demartines N, Clavien P. Classification of surgical complications. A new proposal with evaluation in a cohort of 63360 patients and result of surgery. Ann. Surg. – 2004. – Vol.240. – PP.205–213.