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Post a Comment Clinical case of treatment of postoperative intestinal paresis in case of secondary diffuse peritonitis
- Authors: Samartsev V.A.1,2, Gavrilov V.A.1,2, Kuznetsova M.P.1,2, Domrachev A.A.1,2, Pushkarev B.S.1,2
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Affiliations:
- E.A. Vagner Perm State Medical University
- City Clinical Hospital № 4
- Issue: Vol 40, No 4 (2023)
- Pages: 120-126
- Section: Clinical case
- URL: https://journals.rcsi.science/PMJ/article/view/144154
- DOI: https://doi.org/10.17816/pmj404120-126
- ID: 144154
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Abstract
One of the most common functional disorders in abdominal surgery during the early postoperative period is intestinal paresis. It accounts for 12 % of all types of intestinal obstruction. Postoperative intestinal paresis complicates significantly the course of the early postoperative period and greatly influences the outcome of the surgical intervention. All disorders of the motor and evacuatory function of the gastrointestinal tract, from insignificant discoordination of the motor function to paresis and paralytic obstruction, are often the leading cause of all kinds of postoperative complications. The clinical case of the treatment of the postoperative intestinal paresis using a saline enteral solution in a patient after repeated relaparotomies on the background of secondary peritonitis is presented. Efficiency of the postoperative paresis treatment was assessed by intra-abdominal pressure measurement, X-ray investigation and auscultatory peristalsis evaluation.
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##article.viewOnOriginalSite##About the authors
Vladimir A. Samartsev
E.A. Vagner Perm State Medical University; City Clinical Hospital № 4
Email: samarcev-v@mail.ru
MD, PhD, Professor, Head of the Department of General Surgery №1, Deputy Chief Physician for Surgery
Russian Federation, Perm; PermVasilii A. Gavrilov
E.A. Vagner Perm State Medical University; City Clinical Hospital № 4
Email: inmyplay@mail.ru
ORCID iD: 0000-0002-1950-065X
https://hirurgperm.ru/
Candidate of Medical Sciences, Associate Professor, Department of General Surgery №1
Russian Federation, Perm; PermMarina P. Kuznetsova
E.A. Vagner Perm State Medical University; City Clinical Hospital № 4
Email: marinapk92@gmail.com
Assistant, Department of General Surgery №1, surgeon
Russian Federation, Perm; PermAndrei A. Domrachev
E.A. Vagner Perm State Medical University; City Clinical Hospital № 4
Email: Atals999@icloud.com
postgraduate student, Assistant, Department of General Surgery №1
Russian Federation, Perm; PermBoris S. Pushkarev
E.A. Vagner Perm State Medical University; City Clinical Hospital № 4
Author for correspondence.
Email: boris.pushkarev.08@gmail.com
postgraduate student, Assistant, Department of General Surgery №1, surgeon
Russian Federation, Perm; PermReferences
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