The Evaluation of Electrophysiological Methods of Research in Diagnosis and Prediction of Early Intra-abdominal Complications after Colon Surgery
Journal Title: Journal of Medical Diagnostic Methods - Year 2018, Vol 7, Issue 4
Abstract
Objective: To assess the effectiveness of electrophysiological methods of research in diagnosis and prediction of early intra-abdominal complications after colon surgery. Background: The main reason of unsatisfactory results of early intra-abdominal complications treatment after colon surgery is delay in diagnosis of these complications and late repeated surgery. Methods: Electrophysiological method used in study includes complex installation of sensor system that registers simultaneously a number of physiological parameters. Results: With a favorable course in the early postoperative period there was a gradual decrease in the sensitivity threshold of the colonic wall according to current strength from 19 ± 4.2 to 9 ± 3.6 mA on the third day after the surgical intervention. If there were intra-abdominal complications in the early postoperative period, the threshold indices varied from 14 ± 2.9 to 24 ± 3.7 mA, and subsequently it happened that they ceased to be detected. This gives us the opportunity to start active methods of detoxification in the treatment group on 18-22 hours earlier than in the control group of patients. In addition, the periods of repeated lavage of the abdominal cavity decreased by (20.0 ± 0.3) hours in comparison with the control group. Mortality in the control group is 28.1%, in the treatment group-19%. Conclusions: Comparing the results of treatment of the main and control groups, it should be noted that the early intra-abdominal complications are diagnosed much earlier in the treatment group of patients, primarily due to the results of electrophysiological research methods.
Authors and Affiliations
Archili Miminoshvili, Kyrylo Holubytskyi, Omari Miminoshvili
Keywords
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- EP ID EP580659
- DOI 10.4172/2168-9784.1000278
- Views 86
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