UDK: 616.346.2-002.089.87-06-085
S.A. Akhmatov 1, A.I. Musaev 1, M.J. Aliyev 2, E. Maksut uulu 1
1 Кыргызская государственная медицинская академия имени И.К. Ахунбаева, Бишкек, Кыргызская Республика 2 Городская клиническая больница № 1, Бишкек, Кыргызская Республика
Despite the improvement of the technique of surgery and treatment, the frequency of complications after appendectomy with an atypical location of the appendix varies from 10 to 30 %. The aim of the work is to evaluate the effectiveness of the use of regional lymphostimulation and ozonated solutions in the prevention of complications after appendectomy with an atypical location of the appendix. Materials and methods. 45 patients with an atypical location of the appendix were subjected to analysis (a prospective study). 2 groups were identified: the first (comparison group) included 21 patients who underwent process removal and traditional treatment in the postoperative period. The second, main group, included 24 patients who had regional lymphostimulation, irrigation of the process bed and the operating wound with an ozonated sodium chloride solution at the time of surgery. Results. In the comparison group, there was suppuration of the wound in 4, and infiltration in 2, intestinal paresis in two and early adhesive intestinal obstruction in one. A relaparotomy was performed. In the main group, one suppuration and infiltration of the postoperative wound were noted. There were no fatal outcomes. Conclusion. The use of regional lymphostimulation and ozonated solutions can reduce the frequency of complications and the length of hospital stay in acute appendicitis with an atypical location of the appendix.
appendicitis, atypical location of the appendix, complications, regional lymphostimulation, ozonated solution
Мусабай Жумашович Алиев, musa-aliev-69@mail.ru