Novosti
Khirurgii
This journal is
indexed in Scopus









Year 2022 Vol. 30 No 2

GENERAL & SPECIAL SURGERY

DOI: https://dx.doi.org/10.18484/2305-0047.2022.2.171   |  

M.ZH. ALIEV, A.I. MUSAEV, K.I. NIIAZBEKOV

PREVENTION OF POSTOPERATIVE COMPLICATIONS IN LIVER ECHINOCOCCECTOMY

City Clinical Hospital No1 1, Bishkek,
Kyrgyz State Medical Academy named after I.K. Akhunbaev 2,
The Kyrgyz Republic

Objective. To assess the results of insertion of a hemostatic collagen sponge to prevent the occurrence of residual cavity and application of infrared radiation for a wound to heal successfully in the liver echinococcectomy.
Methods. Operations for the liver echinococcosis were performed in 226 patients. The groups were allocated as follows: control (n=122) patients and main (n=104) patients. The groups were comparable in terms of clinical parameters (gender, age, form of echinococcosis, size of cysts). The conventional methods of the liver echinococcectomy were used in both groups. In the control group, the organ-preserving surgeries were performed in 78 patients, radical ones 0 in 44 patients; all patients received traditional treatment in the postoperative period.
In the main group, 87 patients underwent organ-preserving surgeries, 17 ones - radical echinococcectomy. In the case of impossibility to eliminate completely the fibrous capsule (18 patients out of 87) a hemostatic collagen sponge has been used. Preventing surgical site infections the infrared radiation of the surgical wound area was applied in 104 patients. A white blood cell ( WBC) count, leukocytic index of intoxication, ultrasound examination and measurement of the zone of wound infiltration (echomorphometry) were used to evaluate the results of treatment.
Results. In the control group, a residual cavity was recorded in 12 (9.8%) cases, wound complications - in 6 (4.9%) ones. In the main group the residual cavity was observed in 1 case and wound complications were detected in 2 (1.9%) patients. When evaluating clinical parameters, it was detected that the normalization of body temperature, pain relief, normalization of leukocyte count (WBC) have occurred faster in the main group, who underwent infrared radiation, and in performance of the echomorphometry of the surgical wound, the size of the hypoechoic zone with an elevation of the time in the postoperative period reduced faster.
Conclusion. The hemostatic collagen sponge was found to be applied for the invagination and capitonnage to prevent a substantial risk of postoperative complications. The use of a hemostatic sponge in organ-preserving operations prevents the formation of a residual cavity. It has been shown that the infrared radiation had the potential to improve wound healing and reduce pain and inflammation.

Keywords: liver echinococcosis, surgical treatment, hemostatic collagen sponge, infrared radiation, echomorphometry
p. 171-178 of the original issue
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Address for correspondence:
720054, Kyrgyz Republic,
Bishkek, Yu.Fuchik Str., 15,
City Clinical Hospital No1,
tel. +996 550 650008,
-mail: musa-aliev-69@mail.ru,
Aliev Musabay Zh.
Information about the authors:
Musaev Akylbek I., MD, Professor, Chief Physician of the City Clinical Hospital No1, Bishkek, Kyrgyz Republic.
http://orcid.org / 0000-0002-3915-0300
Aliev Musabay Zh., PhD, Physician of the Surgical Unit No1, City Clinical Hospital No1, Bishkek, Kyrgyz Republic.
http://orcid.org / 0000-0003-0771-245X
Niiazbekov Kubat I., PhD, Associate Professor of the Dpartment of General Practice Surgery with the Course of Combustiology, Kyrgyz State Medical Academy Named after I.K. Akhunbayev, Bishkek, Kyrgyz Republic.
http://orcid.org/ 0000-0002-4103-3138
Contacts | ©Vitebsk State Medical University, 2007