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UDC 612.35:612.46:615.478.6

DOI: 10.15507/0236-2910.026.201603.402-410

 

FUNCTIONAL CONDITION OF A LIVER AND KIDNEYS AT APPLICATION OF MINIINVASIVE MEDICAL TECHNOLOGIES IN TREATMENT OF PERITONITIS

Yeriken K. Salakhov
deputy chief physician at the medical unit, head of the surgical department of the Central District Hospital of Mendeleyevsk (7, Mendeleyevsk, Severnaya St., Russia), Ph.D. (Medicine), ORCID: http://orcid.org/0000-0003-2119-8020, This email address is being protected from spambots. You need JavaScript enabled to view it.

Aleksey P. Vlasov
head of Faculty Surgery chair, Medical Institute, National Research Mordovia State University (68, Bolshevistskaya St, Saransk, Russia), Dr.Sci. (Medicine), professor, ORCID: http://orcid.org/0000-0003-4731-2952, This email address is being protected from spambots. You need JavaScript enabled to view it.

Introduction: The article deals with the assessment of the functional state of the liver and kidneys in patients who underwent laparoscopic sanitation program of the abdominal cavity with the use of low-frequency ultrasound energy, and in patients undergoing relaparotomy about the progression of diffuse peritonitis.
Materials and Methods: The analysis of treatment of 36 patients with peritonitis of various origins (the main group), which were applied programmed laparoscopic rehabilitation using ultrasound, and 56 patients who underwent programmed relaparotomy (control group) was performed.
Results: It was found that when using the laparoscopic sanations with ultrasound in the early postoperative period observed significantly better indicators of liver and kidney failure, which resulted in an authentic decrease in the severity of endogenous intoxication syndrome, and therefore relatively better clinical outcome (shorten hospital stay 6, 4 bed days, reduced mortality by 7,4 %).

Keywords: peritonitis, renal and hepatic dysfunction, endotoxemia, laparoscopic sanitation, low-frequency ultrasound, rehabilitation of abdominal relaparotomy, abdominal drainage

For citation: Salakhov YeK, Vlasov AP. Functional condition of a liver and kidneys at application of miniinvasive medical technologies in treatment of peritonitis. Vestnik Mordovskogo universiteta = Mordovia University Bulletin. 2016; 3(26):402-410. DOI:10.15507/0236-2910.026.201603.402-410

 

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