RELAPAROTOMY IN THE TREATMENT OF INTRA-ABDOMINAL COMPLICATIONS OF ABDOMINAL SURGERY

  • V. A. Syplyviy
  • I. A. Kryvoruchko
  • A. V. Ievtushenko
  • B. V. Menkus
  • D. V. Ievtushenko
Keywords: relaparotomy, surgical operation, intra-abdominal complications.

Abstract

Summary. Relaparotomy in the treatment of postoperative complications of abdominal surgery remains a complex problem in modern surgery.

Purpose: to study the causes of relaparotomy after surgical operations on the abdominal organs, depending on the nature of the first surgical intervention.

Material and Methods: A retrospective analysis of the performance of 74 relaparotomies after surgical treatment of abdominal pathology was performed. The first surgical intervention was performed because of acute cholecystitis (11 patients), choledocholithiasis (4), acute destructive appendicitis (8), perforated stomach or duodenal ulcers (8), strangulated hernia (5), adhesive intestinal obstruction (9), perforation of thin or colon (7), obstruction of the colon of tumor origin (19). Indications for relaparotomy were peritonitis, early adhesive intestinal obstruction, intraperitoneal bleeding.

Conclusions: Complications associated with intra-abdominal infection — peritonitis, peritonitis due to insolvency of anastomotic sutures, is the most common cause of relaparotomy after operations on the abdominal organs, requires improvement of both technology of operations and antibacterial therapy. Relaparotomy is a life-saving surgery in the development of intra-abdominal complications, but it is associated with a greater risk of mortality.

References

1. Радзиховский А. П., Бобров О. Е., Ткаченко А. А. Релапаротомия. — Киев: Феникс, 2001. — 360 с.
2. Patel H., Patel P., Shah D. K. Relaparatomy in general surgery department of tertiary care hospital of Western India. Int Surg.J.2017 Jan;4(1):344-347.
3. Michal Mik, J ustyna Magdzinska, Lukasz Dziki, Marcin Tchorzewski, Radzislaw Trzcinski. Relaparatomy in colorecyal cancer surgery-Do any factors influence the risk of mortality?A case controlled study. International Journal of Surgery 12 (2014) 1192-1197.
4. Omer Basol, Husein Pulat, Ismail Zihni, Sedat Damar, Ali Duran et al. Predictive factors affecting mortality in relaparotomis. Int J Clin Exp Med 2016;9(7):14656-14662.
5. Кыжиров Ж. Н., Женталинова Н. А., Абуов С. М. и др. Релапаротомия в лечении послеоперационных осложнений при острой патологии органов брюшной полости. Medicine (Almaty), №12 (186),2017; 43-47.
6. Сипливый В. А., Гринченко С. В., Доценко и др. Релапаротомия в лечении распространенного перитонита послеоперационного перитонита. Харківська хірургічна школа №2 ,2017; 46-49.
7. Сипливый В. А., Гринченко С. В., Доценко В. В., Евтушенко Д. В., Робак В. И. Релапаротомия и видеолапаросанация у больних с разлитым перитонитом с учетом показателей синдрома энтеральной недостаточности. Вісник Української медичної стоматологічної академії. Актуальні проблеми сучасної медицини. Том 13, випуск 1 (41); 157-159.
8. Сипливый В. А. Оценка тяжести состояния хирургического больного/ В. А. Сипливый, А. И. Дронов, Е. В. Конь, Д. В. Евтушенко. — К. : «Майстерня книги», 2009. — 128 с.
9. Бойко В. В., Смачило Р. М., Малоштан О. В., Тищенко О. М. Жовчні нориці(сучасна концепція лікування / Харків : Промінь, 2017. 160 с.
Published
2020-04-20
How to Cite
Syplyviy, V. A., Kryvoruchko, I. A., Ievtushenko, A. V., Menkus, B. V., & Ievtushenko, D. V. (2020). RELAPAROTOMY IN THE TREATMENT OF INTRA-ABDOMINAL COMPLICATIONS OF ABDOMINAL SURGERY. Kharkiv Surgical School, (2), 156-160. https://doi.org/10.37699/2308-7005.2.2020.31
Section
QUESTIONS OF GASTROINTESTINAL TRACT