Changes in microcirculatory bed while performing operative interventions for adhesive ileus

Keywords: іntraoperative period; laser Doppler flowmetry; adhesive ileus; microcirculatory bed

Abstract

Objective. To investigate the state of microcirculation (МC) in the patients, suffering adhesive ileus (AI) in іntraoperative period.

Маterials and methods. The changes in peripheral MC in patients, suffering AI, through the operative intervention performance, using laser Doppler flowmetry, were analyzed.

Results. During operative intervention performance the changes in the peripheral tissues perfusion and in regulatory mechanisms occur, influencing the microcirculatory bed (МCB) state. Most severe changes were registered in the end of operative intervention. The indices comparison was done, which were оbtained while doing laparotomic and laparoscopic operative interventions, and it have been shown, that application of miniinvasive technologies is accompanied by slower and less severe changes in the tissues perfusion, than while application of the open access operations.

Conclusion. The changes in MCB revealed permit to suggest, that intraoperatively a significant disorders in MC occur, which may cause serious worsening of postoperative period course. The impact on the intraoperative MC state improves the disease course significantly and prevents the severe complications occurrence in patients, suffering AI.

Author Biographies

І. М. Dyakalo, Gorbachevskyi Теrnopil State Medical University

Igor Dyakalo, MD, professor,
Head of General Surgery Department
I. Horbachevsky Ternopil State Medical University
E–mail: deykalo@tdmu.edu.ua
http://orcid.org/0000-0002-0095-4862

V. V. Bukata, Gorbachevskyi Теrnopil State Medical University

Bukata Volodymyr, Senior Laboratory
General Surgery Department
I. Horbachevsky Ternopil State Medical University
Phone: +380977201374
E–mail: bukatavv@tdmu.edu.ua
http://orcid.org/0000-0001-9638-1052

А. V. Chornomydz, Gorbachevskyi Теrnopil State Medical University

Chornomydz Andrii, Ph.D., Assistant Professor
Pharmacology with Clinical Pharmacology
Horbachevsky Ternopil State Medical University
Phone: +380682317989
E–mail: chornomydz@tdmu.edu.ua
http://orcid.org/0000-0001-5479-8298

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Published
2018-04-04
How to Cite
DyakaloІ. М., Bukata, V. V., & ChornomydzА. V. (2018). Changes in microcirculatory bed while performing operative interventions for adhesive ileus. Klinicheskaia Khirurgiia, 85(4), 15-18. https://doi.org/10.26779/2522-1396.2018.04.15
Section
General Problems of Surgery