About laparoscopic diagnosis of volvulus

Design of investigation: Explore possibilitys of visual evaluation intestine’s vitality. Object of investigation: Intervention group: 22 patients who were operated laparoscopically. Control group: 12 patients who were operated by abdominal operation but which unused algorithm. Methods of investigation: patients were examined by traditional methods, as well as by laser. Doppler flowmetry together with domestic analyzer capillary blood LAKK-01. Results: We investigated laparoscopically microcirculation in intervention and control groups in dynamics - before and after operations of elimination of volvulus. Were valid differences in microcirculation (perfusion unit), coefficient of variation, flaksmotsy frequency, amplitude of flaksmotsy (Av), vascular tone. Were doubtful differences in terms of the effectiveness of microcirculation. Microcirculation was investigated after distortion. The investigation showed the preservation of microcirculation’s contravention in the control group. Thus investigation of microcirculation patients with volvulus by laser Doppler flowmetry together with domestic analyzer capillary blood LAKK-01 is an important component of the diagnostic, allowing to define leading pathogenetic mechanisms of contraventions. Based on the proposed method developed diagnostic algorithm and laparoscopic criteria. Key words: Through the use of the investigation of microcirculation, diagnostic algorithm and laparoscopic criteria managed to improve the diagnosis of volvulus.