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Single-row suture in abdominal anastomoses in surgical treatment of palliative patients

https://doi.org/10.17238/2072-3180-2023-2-40-45

Abstract

   Introduction. With the increase in the number of advanced forms of cancer, the number of cytoreductive and palliative surgical interventions in oncological patients with tumors of the gastrointestinal tract has increased. The use of a single-row suture in the formation of anastomoses between the hollow organs of the abdominal cavity with accompanying therapy can reduce the time spent in hospital and accelerate early accelerated rehabilitation, improve the quality of life, reduce postoperative complications.

   Materials and methods. The analysis of surgical treatment of 60 palliative patients with gastric, colon cancer of the 1st stage, 1V clinical groups complicated by bleeding from a decaying tumor of the exit part of the stomach, right and left half of the colon was carried out. For the prevention of postoperative and infectious complications, purulent-septic complications, accompanying therapy was applied using a powerful topical antiseptic Anolyte neutral in the form of a solution.

   Results. Analysis of the results of the early postoperative period in the main group compared with the control group showed an improvement in intestinal peristalsis during auscultation, optimization of the appearance of an independent stool, rapid relief of pain syndrome along the suture.

About the Authors

A. K. Antonov
Moscow Regional Research Clinical Institute named after M. F. Vladimirsky (MONICA)
Russian Federation

Anatoly Kirillovich Antonov, Candidate of Medical Sciences, assistant

Department Family Medicine

129110

61/2 Shchepkina str.

Moscow



R. N. Komarov
Clinical Center of the I. M. Sechenov First Medical State University
Russian Federation

Roman Nikolaevich Komarov, Doctor of Medical Sciences, Professor, Head of the Department

Department of Faculty Surgery No. 1

Bolshaya Pirogovskaya str., 6, p. 1

119435

Moscow



A. V. Filimonyuk-Smelkov
Moscow Clinical Scientific and Practical Center named after A. S. Loginov, DZM
Russian Federation

Alexander Valeryevich Filimonyuk-Smelkov, Doctor of Medical Sciences, senior researcher

111123

highway Enthusiasts, 86

Moscow



Yu. K. Antonov
CJSC «Medical Services» of the N.A. Semashko Children’s Center for Diagnosis and Treatment
Russian Federation

Yuri Kirillovich Antonov, Candidate of Medical Sciences, surgeon

119146

2nd Frunzenskaya str.

Moscow



A. V. Simonova
Moscow Regional Research Clinical Institute named after M. F. Vladimirsky (MONICA)
Russian Federation

Albina Valeryevna Simonova, Doctor of Medical Sciences, Professor

Department Family Medicine

129110

61/2 Shchepkina str.

Moscow



R. V. Gorenkov
FGBNU "N. A. Semashko National Research Institute of Public Health"
Russian Federation

Roman Viktorovich Gorenkov, Doctor of Medical Sciences, Leading researcher

105064

12 Vorontsovo Pole str., building 1

Moscow



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Review

For citations:


Antonov A.K., Komarov R.N., Filimonyuk-Smelkov A.V., Antonov Yu.K., Simonova A.V., Gorenkov R.V. Single-row suture in abdominal anastomoses in surgical treatment of palliative patients. Moscow Surgical Journal. 2023;(2):40-45. (In Russ.) https://doi.org/10.17238/2072-3180-2023-2-40-45

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ISSN 2072-3180 (Print)