Objective estimation of perioperative complications in patients, suffering complicated operative trauma

Keywords: efficacy of treatment; computeric program; energy-biomonitoring; the energy-structural interrelationship in the organism cellular mass; the energy correction

Abstract

Objective. To elaborate the universal rules of objective estimation of perioperative complications, using quantitative determination of disorders of the energy-structural interrelationship in the organism cellular mass.

Materials and methods. In the investigation 35 patients took part, who have late inflammatory complications in the abdominal cavity organs. Preoperatively the patients’ state was estimated as ASA III functional class (dysfunction). During the operation the method of intravenous narcosis was applied, using the targeted concentrations of propofol with artificial pulmonary ventilation in regime of normoventilation. Operative treatment consisted of the inflammatory focus elimination, the abdominal cavity sanation with subsequent drainage. Duration of operative intervention was (153 ± 21) min. The blood loss volume did not exceeded 10% of the circulating blood volume. Security of the treatment measures, determining results and summation of the medical help was estimated, using the energy-biometrical monitoring.

Results. Unlike the estimation method of traditionally monitored indices of supporting systems, the energy-biometric monitoring constitutes a sensitive method of the metabolic changes determination in a patient organism in perioperative period.

Conclusion. Estimation of the energy-structural interrelationship in the organism cellular mass serves the integral marker of analysis for current state and further prognosis of the treatment efficacy. The treatment result depends in direct proportion from the terms of elimination of the energy-structural deficiency disorders.

Author Biographies

L. M. Smyrnova, Bogomolets National Medical University, Kyiv

Smyrnova Larysa Mykhaylivna, MD, DSci(Med) Chief Scientist
Shalimov National Institute of Surgery and Transplantology, Kyiv.
03087, 30, Geroyev Sevastopolya str., Kyiv, Ukraine.
497-13-74.
SMLM@ua.fm
https://orcid.org/0000-0003-2697-5458

M. V. Smyrnova, Bogomolets National Medical University, Kyiv

Smyrnova Mariia, Student
Bogomolets National Medical University, Kyiv.
13, Taras Shevchenko Blvd, Kyiv, 01601.
044 234 4062
Smirnovaa.m@gmail.com
https://orcid.org/0000-0002-6606-2250

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Published
2019-08-29
How to Cite
Smyrnova, L. M., & Smyrnova, M. V. (2019). Objective estimation of perioperative complications in patients, suffering complicated operative trauma. Klinicheskaia Khirurgiia, 86(8), 35-41. https://doi.org/10.26779/2522-1396.2019.08.35
Section
General Problems of Surgery