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. AntonovRussian Federation
Anatoly Kirillovich Antonov, Candidate of Medical Sciences, assistant
Department Family Medicine
129110
61/2 Shchepkina str.
Moscow
R. N. Komarov
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
Russian Federation
Alexander Valeryevich Filimonyuk-Smelkov, Doctor of Medical Sciences, senior researcher
111123
highway Enthusiasts, 86
Moscow
Yu. K. Antonov
Russian Federation
Yuri Kirillovich Antonov, Candidate of Medical Sciences, surgeon
119146
2nd Frunzenskaya str.
Moscow
A. V. Simonova
Russian Federation
Albina Valeryevna Simonova, Doctor of Medical Sciences, Professor
Department Family Medicine
129110
61/2 Shchepkina str.
Moscow
R. V. Gorenkov
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