Year 2020 Vol. 28 No 1




Vitebsk State Medical University, Vitebsk,
The Republic of Belarus

Objective. To evaluate the clinical effectiveness of testosterone drugs administration in the surgical treatment of male patients with acute infectious pulmonary destruction (AIPD).
Methods. The results of examination and treatment of 74 male patients with AIPD were studied. Using simple randomization 2 groups including 37 people were formed, which did not differ statistically significantly by age, duration of the disease, forms and complications of acute infectious pulmonary destructions, the level of initial total serum testosterone and the frequency of its deficiency. In each group, 35 patients were operated on. According to the frequency of simultaneous and staged operations, patients in the groups did not statistically significantly differ. In patients of group 1, the complex of therapeutic remedies in the postoperative period was supplemented by the introduction of testosterone preparations.
Results. The administration of testosterone preparations was accompanied by a decrease in the frequency of postoperative complications from 83% to 49% (p=0.025), and the total number of postoperative complications from 92 to 43 (p=0.011). Patients of group 1 were 21% less likely to develop pulmonary pleural fistula (p=0.055), pneumonia developed 2 times (p=0.1) less often, the frequency of purulent-resorptive wasting and cachexia decreased by 13% (p=0.11). The number of interventions for postoperative complications in group 1 were 7 in 35 (20%) cases, in group 2 12 in 35 (34%) (p=0.18). The overall mortality rate in group 1 was 11% (4 out of 37 patients died), in group 2 23% (9 out of 37 patients died), (p=0.22). Postoperative mortality was 11% (4 of 35) and 26% (9 of 35) in groups 1 and 2, respectively (with p=0.22).
Conclusions. The inclusion of testosterone drugs in the complex of the treatment program in patients operated on for acute infectious pulmonary destructions helps to reduce the number of cases of the complicated postoperative period from 83% to 49% (p=0.025) and the frequency of development of the postoperative complications by 2 times (p=0.011).

Keywords: acute infectious pulmonary destruction, lung abscess, lung gangrene, surgical treatment, postoperative complications, testosterone
p. 5-15 of the original issue
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Address for correspondence:
210009, Republic of Belarus,
Vitebsk, Frunze Ave., 27,
Vitebsk State Medical University,
Department of Hospital Surgery with Courses in Urology and Pediatric Surgery.
Tel. mob. +375 29 7191491,
Maksim U. Kuncevicz
Information about the authors:
Petukhov Uladzimir I., MD, Associate Professor, Head of the Surgery Department of the Faculty of the Advanced Training and Retraining of Specialists, Vitebsk State Medical University, Vitebsk, Republic of Belarus.
Ermashkevich Sergey N., PhD, Associate Professor of the Department of Hospital Surgery with Courses in Urology and Pediatric Surgery, Vitebsk State Medical University, Vitebsk, Republic of Belarus.
Sachek Mikhail G., MD, Professor, Head of the Department of Hospital Surgery with Courses in Urology and Pediatric Surgery, Vitebsk State Medical University, Vitebsk, Republic of Belarus.
Kuncevicz Maksim U., Post-Graduate Student of the Department of Hospital Surgery with Courses in Urology and Pediatric Surgery, Vitebsk State Medical University, Vitebsk, Republic of Belarus.
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