Kharkiv Surgical School最新文献

{"title":"SPLENECTOMY IN PATIENTS WITH PATHOLOGY OF THE BLOOD SYSTEM","authors":"S. Bichkov, L. Dushyk, N. Cherkova","doi":"10.37699/2308-7005.2.2022.04","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.04","url":null,"abstract":"Abstract. Splenectomy (SE) in hematologic patients is accompanied by an increased risk due to the presence of a hemostasis violation in most cases. All this determines the search for more favorable methods of surgical intervention in patients with diseases of the blood system. The purpose of the study is to improve the results of surgical treatment of patients with blood system diseases by planning the method of splenectomy. \u0000Materials and methods: the work was performed on the basis of a comprehensive clinical-laboratory and instrumental examination of 112 patients with various diseases of the blood system that needed surgical treatment. In addition to laboratory diagnosis, special attention was given to the anamnesis: duration of the disease, hormonal therapy; instrumental research methods: ultrasound of the abdominal cavity and CT, as well as nosologies. A harmonic scalpel was used to mobilize the spleen. The EndoGIA-30 stapler (AutoSuture) was used to treat the vascular pedicle. \u0000Results and discussion: analysis of the results of SE in patients with hematological profile showed that the choice of surgical access depends on many factors which can be set before operation by dint of ultrasound and CT. There were no conversion cases, which could be explained by the possibility of objective preoperative planning, as a result of which in cases of laparoscopic adverse events, a decision was made to perform open type of SE. The absence of complications and fatal cases at SE in hematologic patients shows the efficacy of the use of harmonic scalpel and EndoGIA-30 (AutoSuture) staplers to mobilize the spleen. \u0000Conclusions: the use of ultrasound and CT plays an important role in planning the method of spleenectomy, which avoids cases of conversion. Simultaneous use of harmonic scalpel and Autosuture staplers for performing SE helps to avoid complications.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128140261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IMPACT OF GALVANIZATION ON THE COURSE OF THE WOUND PROCESS IN THERMAL BURNS","authors":"B. V. Petryuk, O. Khomko, V. K. Grodetskyy, V. I. Hrebeniuk, S. Yakobchuk, L. P. Khomko","doi":"10.37699/2308-7005.2.2022.10","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.10","url":null,"abstract":"Resume. The aim of the research was to study the feasibility of galvanization in the case of superficial and deep dermal thermal burns. \u0000Materials and methods. The efficiency of the direct current electric field (DCEF) was studied in an experiment on 16 sexually mature white rats weighing from 190 to 250 g, by causing them thermal burns using a special device. The area of the simulated burn was 8–10 % of the rat body surface, depending on its size. The depth of the lesion corresponded to IIIA-B degree burns according to O. V. Vyshnevsky (superficial and deep dermal burns). Galvanization of the damaged area was performed under anesthesia from the 3rd day using the device «Stream-1» with a direct current density of 0.04–0.05 mA/cm2 for 30 minutes. Behavioral reactions of animals, dynamics of weight loss, features of the wound process in the area of thermal damage were evaluated. Histological and bacteriological examination of wounds was performed for 2–3, 6–7, 13–14, and 19–21 days after modeling of burns. \u0000Results and discussion. The use of galvanization of burn wounds contributed to the activation of demarcation and cleaning processes in the damaged area, accelerated reparative regeneration, reduced microbial contamination of the wound surface. Thus, the optimization of the wound process was achieved, which was reflected in the timing of healing of the affected areas. \u0000Conclusions. As a result of an experimental study, it was found that DCEF has a beneficial effect on the wound process in the case of superficial and deep dermal thermal burns.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"29 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133686257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SURGICAL TREATMENT OF ACUTE ADHESIVE SMALL INTESTINE OBSTRUCTION","authors":"O. V. Kapshytar, O. O. Kapshytar, P. Y. Tantsura","doi":"10.37699/2308-7005.2.2022.05","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.05","url":null,"abstract":"Abstract. The purpose of the study: to study and evaluate the results of surgical treatment of acute adhesive obstruction of the small intestine. \u0000Material and methods. Of the 49 patients with acute adhesive small intestine obstruction in the past, 83,7 % underwent 1 operation, 14,3 % — 2. \u0000Results and discussion. After laparotomy, 75,5 % of patients crossed adhesions, 4,1 % had small bowel + bicuspid end ileostomy, 18,4 % had small bowel resection, 2 % had ileotransversoanastomosis, and 18,4 % had simultaneous surgery. Intubation of the small intestine according to the indications. \u0000Iatrogenic injuries occurred in 12,2 % of patients, postoperative complications - in 18,4 %. 3 (6,1 %) patients died: sepsis (1), multiple organ failure (1), COVID-19 associated pneumonia (1). \u0000Conclusions. Acute adhesive obstruction of the small intestine is 3,8 % of all acute surgical diseases of the abdominal cavity. The scope of the operation depended on the viability of the small intestine, the possibility of separation of the conglomerate or infiltrate, the choice of method of incubation of the intestine, the presence of simultaneous pathology. This surgical tactic led to 18,4 % of postoperative complications, 4,1 % — relaparotomies, 6,1 % — mortality.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116044130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"INTESTINAL STOMA: CAUSES OF FORMATION AND ITS COMPLICATIONS","authors":"V. Shaprynskyi, A. V. Verba, Y. Shaprynskyi, E. Horoshun","doi":"10.37699/2308-7005.2.2022.13","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.13","url":null,"abstract":"Abstract. Aim. The aim of our work was to analyze the causes of intestinal fistula formation in injuries and diseases of the abdominal cavity of different genesis and to identify the causes of complications in them. \u0000Materials and methods. The results of treatment of 88 patients who were treated at the Military Medical Clinical Center of the Central Region and the Military Medical Clinical Center of the Northern Region, who underwent surgery with formation of intestinal fistula for the period from 2015 to 2022, were studied. The reasons for surgery in 17 cases were combat trauma to the abdomen, in 53 ca-ses – intestinal disease of malignant origin, in 15 – diverticular disease, others: stab wound to the abdomen – in 1, pelviorectal paraproctitis – in 1, mesenteric thrombosis – in 1. \u0000Results and discussion. In the postoperative period 22 patients had complications after stoma formation. These complications were divided into complications from the stoma and intestine of the stoma, as well as the skin around the stoma. Some patients had 2-3 complications, so the total number of complications exceeded the total number of patients with complications. \u0000Among the early complications were observed: parastomal dermatitis (17) with ulceration (8), parastomal infiltrate (3), parastomal abscess (1), retraction of the stoma (3), stoma deviation from skin and its failure (1), necrosis of the stoma (1), bleeding (1), failure of the gut stump (1), abdominal abscess (1). Among the late complications we noted: prolapse of the stoma (3), ligature fistulas (7), stricture of the stoma (1), parastomal hernias (2), hypergranulation (6). The frequency of these complications, in our opinion, depends on the correct formation of the stoma with proper surgical techniques, taking into account the anatomical features of the structure of the anterior abdominal wall, the constitutional characteristics of the patient, the degree of infection of parastomal tissues. \u0000Conclusions. The most common early complications after stoma formation are purulent-inflammatory, which occurred in 25.0 % of patients operated on urgently. Among late complications, complications such as ligature fistulas, prolapse and paracolostomy hernias were common – up to 7.95 %, which required surgical correction.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123200522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"INFLUENCE OF JAUNDICE NATURE ON THE TREATMENT TACTICS OF PATIENTS WITH ACUTE PANCREATITIS","authors":"T. Tamm, V. V. Nepomnyaschiy, K. Kramarenko, I. Mamontov, O. P. Zakharchuk, I. Zulfigarov, D. D. Ryabushenko","doi":"10.37699/2308-7005.2.2022.03","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.03","url":null,"abstract":"Abstract. The aim of the study is to improve the treatment results of patients with AP with jaundice syndrome by improving the quality of differential diagnosis of the nature of concomitant jaundice. \u0000Materials and methods of research. The treatment results of 52 patients with acute pancreatitis complicated by jaundice syndrome were analyzed, jaundice was mechanical in 42 (80.9 %) cases, parenchy-mal – in 10 (19.1 %). \u0000Results and discussion. 28 from 42 patients with acute pancreatitis and mechanical jaundice caused by concretion in the large duodenal papilla, choledocholithiasis and papillitis underwent endoscopic papillosphincterotomy with nasobiliary drainage. In 7 cases open cholecystectomy with choledocholithotomy and retroduodenal space drainage were performed due to the large size of concretions. LChE was performed in 21 case, elective laparoscopic cholecystectomy was performed in 14 patients with compression of the common hepatic duct by inflammatory infiltrate in the gallbladder neck. There were no fatalities in the group of patients with acute pancreatitis and mechanical jaundice. In the group of patients with acute pancreatitis and parenchymal jaundice 4 from 10 patients died, mortality was 40 %. \u0000Conclusions. Ultrasound is required for differential diagnosis of mechanical and parenchymal jaundice in acute pancreatitis, which allows the determination of the treatment tactics, type of surgery and the extent of conservative therapy.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121767662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EARLY PURULENT-SEPTIC COMPLICATIONS IN CLOSED ABDOMINAL TRAUMA","authors":"N. Kravets, V. V. Izbytskiy","doi":"10.37699/2308-7005.1.2022.09","DOIUrl":"https://doi.org/10.37699/2308-7005.1.2022.09","url":null,"abstract":"The purpose of the work: To study and characterize the nosological forms of complications, as well as the causes of their development, and to develop optimal treatment tactics. \u0000Material and methods: The study involved 650 victims with abdominal trauma, who were treated at the “Zaporozhzhia hospital of emergency care”. 53 cases (8,15%) were diagnosed abdominal complications. Diagnosis of abdominal complications were based on clinical data, X-ray data, computed tomography (CT), magnetic resonance imaging (MRI) of the abdominal cavity, ultrasonography diagnostics (US), clinical and biochemical analyses. \u0000Results and discussion. The main types of surgical interventions, treatment during the postoperative period were described. They were caused by tactical and technical errors of the treatment program and severe abdominal injuries, wich caused disorders of homeostasis. The main types of operative interventions and treatment tactics during postoperative period are described \u0000Conclusions. The multimodular treatment of postoperative abdominal septic complications, that include using of modern methods of diagnostic and treated program, intensive perioperative tactic and extracorporal detoxication methods reduced mortality to 3,2%.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"723 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134457205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RECONSTRUCTIVE SURGERY IN PATIENTS WITH MALIGNANT DISEASES OF THE BILIARY TRACT COMPLICATED BY MECHANICAL JAUNDICE","authors":"V. Boyko, Y. Avdosyev, D. Yevtushenko, I. Taraban, R. Smachilo, A. Sochneva, D. Minukhin, O. Shevchenko","doi":"10.37699/2308-7005.1.2022.01","DOIUrl":"https://doi.org/10.37699/2308-7005.1.2022.01","url":null,"abstract":"The causes of mechanical jaundice (MJ) are benign and malignant diseases of the hepaticopancreaticoduodenal area. Literature sources indicate the development of MJ in 15-40 % of patients with gallstone disease and in the vast majority of patients with malignant neoplasms of the biliary tract. MJ of malignant etiology occurs in 40-67 % of patients. \u0000Aim. To study the results of the use of reconstructive surgery in patients with malignant diseases of the biliary tract complicated by mechanical jaundice. \u0000Materials and methods. An analysis of surgical treatment of 22 patients with malignant diseases of the biliary tract complicated by MJ in the SI “ V.T. Zatsev IGUS NAMSU ». Patients are divided into subgroups. Subgroup 1 - 11 (50 %) included patients treated with antegrade endobiliary interventions as biliary decompression. Subsequently, the reconstructive and restorative stage of surgical treatment was performed. Subgroup 2 - 11 (50 %) included patients who underwent reconstructive surgery without prior biliary decompression. \u0000Results of the research. After successful biliary decompression, 11 (50 %) patients underwent reconstructive surgery, which was included in 1 subgroup. The remaining 11 (50 %) patients in subgroup 2 underwent similar surgery without prior biliary decompression. In patients of subgroup 1 (n = 11 (50 %)) we performed percutaneous transhepatic cholangiodrainage for biliary decompression and MJ resolution. After its successful implementation, the reconstructive and restorative stage of surgical treatment was performed. This reduced the number of postoperative complications from 18.2 % to 9.1 % compared with subgroup 2 of patients who underwent surgery without prior biliary decompression. \u0000Conclusions. Performing reconstructive and reconstructive operations in conditions of high levels of serum bilirubin, cholangitis, hepatic failure is dangerous and is accompanied by a large number of complications in the postoperative period. In patients who underwent antegrade endobiliary interventions as a previous biliary decompression, complications were noted in 2 (18.2 %) cases and mortality was 9.1 % (1 patient), which reduced the number of postoperative complications by 9.1 % and mortality by 9.1 %. This is confirmed by studies that prove the benefits of antegrade endobiliary interventions in the preparation of patients for reconstructive surgery in comparison with their performance without the use of the latter.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115451555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FEATURES OF THE BIOCENOSIS OF TROPHIC ULCERS ON THE BACKGROUND OF CHRONIC VENOUS INSUFFICIENCY, THE POSSIBILITY OF TREATMENT","authors":"I. Duzhiy, V. Bielai, L. Sukhodub, V. Pak, O. Yasnikovsky","doi":"10.37699/2308-7005.1.2022.10","DOIUrl":"https://doi.org/10.37699/2308-7005.1.2022.10","url":null,"abstract":"Introduction. The reasons for long-term healing of TU of the lower extremities are bacterial contamination of ulcers with the formation of biofilms. \u0000The urgency of the problem. The frequency of TU of the lower extremities, microbial resistance and a significant frequency of relapses (20–70 %) determines and justifies the urgency of the problem. \u0000Goal. To study the features of the TU biocenosis of the lower extremities and the possibility of treatment without the use of antibiotics. \u0000Materials and methods. Patients with TU were divided into two groups. The first (main) group (n = 57) included patients who received apatite polymer drainage bandage, the second group (comparison) consisted of patients treated with traditional methods (n = 53). Smears from the wound surface of the TU were examined for sensitivity to APDB. \u0000Results and discussion. The intensity of microbial contamination of TU before treatment was 106CFU / ml, on the 3rd day after application of APDB — 104 CFU/ml, on the 5th day — 103 CFU/ml. The average rate of wound healing was 0.42 cm2/day of the wound surface area. \u0000Conclusions. 1. Staphylococcus ssp dominates in microbiocinosis TU — 52.7 %, E. coli — 34.6 %. 2. The use of APDB without the use of antibiotics reduces microbial contamination. 3. The average duration of treatment in the main group was 19.6 days in the comparison group — 28.2 days.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122136794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MINIMALLY INVASIVE METHODS FOR TREATING LIVER CYSTS","authors":"S. Bichkov, O. I. Tsivenko, L. Dushyk, N. Cherkova","doi":"10.37699/2308-7005.1.2022.11","DOIUrl":"https://doi.org/10.37699/2308-7005.1.2022.11","url":null,"abstract":"Despite current advances in minimally invasive surgery, the diagnosis and treatment of liver cysts of non-parasitic genesis remains a controversial issue. \u0000The aim of the study is to improve the results of surgical treatment of patients with liver cysts of non-parasitic genesis by complex application of mini-invasive diagnostic and surgical methods. \u0000Materials and methods: patients were carried out clinical, laboratory, instrumental methods of examination, during which liver cysts were identified. Patients were prescribed painkillers before and after puncture to prevent pain syndrome. Puncture was performed under local anesthesia. After the evacuation of the contents, 96 % ethyl alcohol was injected into the cavity. Pig tail 6 F catheters were used for drainage. The average drainage time for liver cysts is (22 ± 1.6) days. Indications were determined for performing the puncture under the control of sonography, laparoscopic method of treatment. Puncture-draining interventions were performed in 53 patients with non-parasitic liver cysts, of which ultrasound-controlled drainage was performed in 30 patients, and video laparoscopic drainage was performed in 23 patients. \u0000Results and discussion: postoperative period was more favorable in patients who used percutaneous puncture interventions. Immediately after percutaneous interventions under ultrasound control and from the second day after video laparoscopic operations and patients returned to their usual diet and volume of physical activity. \u0000Conclusions: thus, minimally invasive methods of surgical treatment of non-parasitic liver cysts have significantly improved the rehabilitation of this group of patients.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134236121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE STATE OF PRO-INFLAMMATORY MARKERS IN PATIENTS WITH METABOLIC DISORDERS CAUSED BY OBESITY BEFORE AND AFTER BARIATRIC SURGERY","authors":"A. Lavryk, O. Lavryk, H. M. Lytvynchuk","doi":"10.37699/2308-7005.1.2022.05","DOIUrl":"https://doi.org/10.37699/2308-7005.1.2022.05","url":null,"abstract":"Aim. To study the effect of bariatric surgery on pro-inflammatory markers and to study the mechanisms of changes in their concentration in the postoperative period with a decrease in the mass of adipose tissue. \u0000Material and methods. The work is based on the results of surgical treatment of patients with MO (aged 18 to 62 years, with an average BMI of (50.8 +8.5) kg/m2) who underwent bariatric surgery at the National Institute of Surgery and Transplantology of the National Academy of Medical Sciences of Ukraine. In the postoperative period, the following parameters were measured: C-reactive protein, sialic acid and seromucoid at 1, 3, 6 and 12 months after surgery. \u0000Results and discussion. The SRP concentration decreased significantly already during the first 3 months. in all groups: SRP after BSH was — (96±12.6) mg/l, which is 2 times lower than the initial level, after IR — (98±21.6) mg/l, which is 1.2 times lower than the initial level, after BPS — (128±18.6) mg/l, which was 1.3 times lower than the initial level. After 12 months. SRP was (62±10.8) mg/l, which was 3 times lower than the initial level, after IR — (46±8.4) mg/l, 3 times lower than the initial level, after BPH — (36±13.2) mg/l, which was 5 times lower than the initial level. \u0000Sialic acid levels at 6 months. was: after BPSh — (2.4±0.9) Od., after IR — (2.7±0.3) Od after BPSH — (2.6±0.5) Units. After 12 months. the level of sialic acids remained in the upper limit of the norm and were: after BSh — (2.7±0.5) Odes after IR — (2.5±0.7) Odes after BSA — (2.6±0.5) Units. \u0000The seromucoid concentration was the highest before surgery in the CI and BPS groups and amounted to (0.4±0.2) and (0.3±0.2) Compared with (0.2±0.2) in the BPS group. Within 3–6 months. after the operation, the concentration of seromucoid was in the upper limit of the norm. \u0000Conclusions. The reduction in body weight achieved after bariatric surgery leads to the normalization of pro-inflammatory status, which forms the pathogenetic basis for neutralizing the systemic inflammation observed in obesity. These indicators are reliable evidence of a decrease in the intensity or cessation of inflammatory and destructive processes that develop in obese patients.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"53 37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114393760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}