THE DURATION INFLUENCE OF THE INTRA-ABDOMINAL HYPERTENSION ON THE OCCURRENCE OF THE POSTOPERATIVE EVENTRATION

Abstract

Postoperative eventration is one of the most dangerous complications in abdominalsurgery, in the occurrence of which there is a fairly high mortality, reaching up to 20%,and according to some authors - up to 65%.One of the many important factors that has a direct impact on the occurrence of thepostoperative eventration is intra-abdominal hypertension (HCV), which alwaysoccurs in acute surgical diseases and injuries of the abdominal cavity, postoperativecomplications and so on.If the role of IOP level in the development of the postoperative eventration is quite clearand predictable, then the duration of IHD and its degree remains completely uncertain.Studying the duration of HCV in the development of the postoperative eventration willprovide a better understanding of the etiopathogenesis of this complication and findways to prevent it effectively.The aim of the study was to study the role of the duration of intra-abdominal hypertension,depending on its degree, in the development of the postoperative eventration.Material and methods. 59 operated patients with malignant neoplasms of the colon, inthe II and III stages of the disease were studied.The main group consisted of individuals who had an eventration during the earlypostoperative period. The comparison group was formed by patients in whom eventrationdid not occur during the entire postoperative period. All patients were measured for IOPlevels measured through the bladder, with a frequency of 3 times a day.Discussion of the research results. The results of the study indicate the leading roleof the duration of VCHG in the development of the postoperative eventration. Thus,the development of postoperative eventration is characterized by a longer duration ofperiods of VCHG II, III and IV degrees and less - without VCHG and VCHG I degree.The role of the duration of the period of VCHG of the II degree is indicated, as thereis no probable difference against the periods without VCHG and with VCHG of the Idegree.Also, postoperative eventration occurs faster in patients with a longer period of VCHGIII and IV degrees and shorter periods without VCHG and with VCHG I degree. Forfaster onset of the postoperative eventration is characterized by the absence of a probable difference in the duration of the period of VCHG III and IV degrees compared to others.Conclusions. 1. In the development of postoperative eventration the leading role belongsto the relatively long periods of intra-abdominal hypertension of II, III-IV degrees.2. The onset of postoperative eventration is inversely proportional to the duration of theperiod of intra-abdominal hypertension of III - IV degrees.