Changes in microcirculatory bed while performing operative interventions for adhesive ileus

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


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

V. V. Bukata, Gorbachevskyi Теrnopil State Medical University

Bukata Volodymyr, Senior Laboratory
General Surgery Department
I. Horbachevsky Ternopil State Medical University
Phone: +380977201374

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


1. Schier R, Zimmer P. Riedel B. Perioperative inflammation and microcirculation in surgery: clinical strategies for improved surgical outcomes. In "Microcirculation Revisited – From Molecules to Clinical Practice", book edited by Lenasi H. [Internet] Published: October 26, 2016 Available from:–revisited–from–molecules–to–clinical–practice DOI: 10.5772/64435
2. Bentov I, Reed MJ. Anesthesia, Microcirculation and Wound Repair in Aging Anesthesiology. 2014 Mar;120(3):760–72.
3. Datsyuk О, Kozlovsky I, Kozlovsky J, Dmitriev D, Datsyuk L. Diagnosis and prevention of perioperative hypothermia. Pain, Anaesthesia & Intensive Care. 2016;4:42–7. [In Ukrainian].
4. Conte B, L'hermite J, Ripart J, Lefrant J–Y. Perioperative Optimization of Oxygen Delivery Transfusion Alter Transfusion Med. 2010;11(3):22–29.
5. Kutovyi OB, Serhieiev OO, Abramova OI. Perspektyvy likuvannia khvorykh z hostrym venoznym trombozom stehno–klubovoho sehmentu. Naukovyi visnyk Uzhhorodskoho universytetu. 2012;2(44):68–70. [In Ukrainian].
6. Nenashko IA. Intraoperating hypercoagulation syndrome as a factor of postoperative throm¬bosis in the venous system. Hospital Surgery. Journal named by L. Ya. Kovalchuk. 2016;4:59–62. [In Ukrainian].
7. Fira DB. Intraoperative sequence of actions when performing laparoscopic cholecystectomy in patients with concomitant varicose veins of the lower extremities. Hospital Surgery. Journal named by L.Ya. Kovalchuk. 2016;2:99–102. [In Ukrainian].
8. Kisljakov VV, Useinov JeB, Grojzik KL. Ob opasnostjah i oslozhnenijah laparoskopicheskoj holecistjektomii. Harkіvs'ka hіrurgіchna shkola. 2009;4.1(36):207–9. [In Russian].
9. Lawrence JP. Advances and new insights in monitoring. Thorac Surg Clin. 2005;15:55–70.
10. Mcintosh N. Intensive care monitoring: past, present and future. Clin Med. 2002;2:349–55.
11. Huang H, Deng M, Jin H, Dirsch O, Dahmen U. Intraoperative vital and haemodynamic monitoring using an integrated multiple–channel monitor in rats. Lab Anim. 2010 Jul;44(3):254–63.
12. Krupatkin AI, Sidorov VV. Lazernaya dopplerovskaya floumetriya mikrotsirkulyatsii krovi. Rukovodstvo dlya vrachey. Мoscow: Public Corporation "Medicine"; 2005. 256 p. [In Russian].
13. Standarti nadannya medichnoyi dopomogi hvorim z nevidkladnimi hirurgichnimi zahvoryuvannyami organiv cherevnoyi porozhnini [Standards of medical care for patients with urgent surgical diseases of the abdominal cavity]: Order of the Ministry of Health of Ukraine No. 297 of 02.04.2010 [Internet]. Available at: http://
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.
General Problems of Surgery