CHANGES IN SKIN MICROCIRCULATION ON THE ANTERIOR ABDOMINAL WALL OF PATIENTS WITH ACUTE SURGICAL PATHOLOGY
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Abstract
Objective. Assessment of perfusion changes in a tissue of the wound area in patients with acute surgical pathology.
Methods. Clinical experience made up of 60 patients with acute surgical diseases, and 30 healthy volunteers.
Results. In the main group the healing was by primary intention, the average index of microcirculation on the first day was 12.8 ± 1,5 units building, on the third day of 10,7 ± 1,2 units building, on the fifth day 7,5 ± 1,2 floor units, throughout the postoperative period, the average was 10.3 ± 1,4 per. units, which corresponds to a hyperemic hemodynamic type of microcirculation. No statistically significant differences in the nine regions of the anterior abdominal wall were revealed in the comparison group. The perfusion indices made up from 3.8 to 6.5 micro-units, an average of 4.7 ±1,2 building units, which corresponds to normocalcaemia hemodynamic type of microcirculation.
Conclusions. During the analysis with the help of laser Doppler fluometry revealed that in the early postoperative period in the wound there is a change in perfusion as a result of traumatic injury of arterioles and venules, inflammatory reaction, which is confirmed by an increase in microcirculation by 54.4 %.
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Barkhatov IV. Assessment of the microcirculation system by laser doppler flowmetry. Clinical Medicine. 2013; 91(11): 21-27. Russian (Бархатов И.В. Оценка системы микроциркуляции крови методом лазерной допплеровской флоуметрии //Клиническая медицина. 2013. Т. 91, № 11. С. 21-27)
Krechina EK, Kozlov VI, Maslova VV. Microcirculation in periodontal gingival tissues. M.: GEOTAR-Media, 2007. 80 p. Russian (Кречина Е.К., Козлов В.И., Маслова В.В. Микроциркуляция в тканях десны пародонта. М.: ГЭОТАР-Медиа, 2007. 80 с.)
Krupatkin AI. New possibilities for assessing the innervation of microvessels of the skin using spectral analysis of microhemodynamic oscillations. Regional blood circulation and microcirculation. 2004; 3(4): 52-59. Russian (Крупаткин А.И. Новые возможности оценки иннервации микрососудов кожи с помощью спектрального анализа колебаний микрогемодинамики //Регионарное кровообращение и микроциркуляция. 2004. Т. 3, № 4. С. 52-59)
Krupatkin AI, Rogatkin DA, Sidorov VV. Clinical and diagnostic indicators in a comprehensive study of microhemodynamics and oxygen transport in the microcirculation system. Hemorheology and microcirculation: materials of the sixth international conference. Yaroslavl, 2007. P. 106. Russian (Крупаткин А.И., Рогаткин Д.А., Сидоров В.В. Клинико-диагностические показатели при комплексном исследовании микрогемодинамики и транспорта кислорода в системе микроциркуляции //Гемореология и микроциркуляция: матер. 6-й междунар. конф. Ярославль, 2007. С. 106)
Kozlov VI, Korsi LV, Sokolov VG. Biophysical principles of laser Doppler flowmetry. Application of laser Doppler flowmetry in medical practice: materials of the second All-Russian symposium. M., 1998. P. 17-24. Russian (Козлов В.И., Корси Л.В., Соколов В.Г. Биофизические принципы лазерной допплеровской флоуметрии //Применение лазерной допплеровской флоуметрии в медицинской практике: матер. 2-го Всерос. симп. М., 1998. С. 17-24)
Krupatkin AI, Sidorov VV, Merkulov MV et al. Functional assessment of perivascular innervation of the extremities using laser Doppler flowmetry: a manual for doctors. M.: Medicine, 2004. 26 p. Russian (Крупаткин А.И., Сидоров В.В., Меркулов М.В. и др. Функциональная оценка периваскулярной иннервации конечностей с помощью лазерной допплеровской флоуметрии: пособие для врачей. М.: Медицина, 2004. 26 с.)
Kasparov EV, Gorbunov SN, Zyuzyukina AV et al. A modern view of the problem of acute appendicitis. Moscow Surgical Journal. 2014; (5): 60-64. Russian (Каспаров Э.В., Горбунов С.Н., Зюзюкина А.В. и др. Современный взгляд на проблему острого аппендицита //Московский хирургический журнал. 2014. № 5. С. 60-64)
Sartelli M, Abu-Zidan FM, Catena F, Griffiths EA, Di Saverio S, Coimbra R et al. Global validation of the WSES Sepsis Severity Score for patients with complicated intraabdominal infections: a prospective multicenter study (WISS Study). World J. Emerg. Surg. 2015; 10: 61
Stewart B, Khanduri P, McCord C, Ohene-Yeboah M, Uranues S, Vega Rivera F et al. Global disease burden of conditions requiring emergency surgery. BJS. 2014; 10: e9-e22
Waitt PI, Mukaka M, Goodson P, SimuKonda FD, Waitt CJ, Feasey N et al. Sepsis carries a high mortality among hospitalised adults in Malawi in the era of antiretroviral therapy scale-up: a longitudinal cohort study. J Infect. 2015; 70: 11-19
Braginsky MYa, Vechkanov IN, Glushchuk AA, Eskov VM, Eskov VV, Mitina NN et al. System analysis, management and information processing in biology and medicine. In: General theory of systems in clinical cybernetics. V. VIII. Samara: «Etching» LLC, 2009. 198 p. Russian (Брагинский М.Я., Вечканов И.Н., Глущук А.А., Еськов В.М., Еськов В.В., Митина Н.Н. и др. Системный анализ, управление и обработка информации в биологии и медицине //Общая теория систем в клинической кибернетике. Том VIII. Самара: ООО «Офорт», 2009. 198 с.)
Leaper DJ. Surgical-site infection. Br J Surg. 2010; 97(11): 1601-1602
Ostanin AA, Chernykh ER. Cytokinotherapy by Roncoleukin in the complex treatment and prevention of surgical infections: a handbook for physicians. SPb.: «Alter Ego», 2009. P. 25-27. Russian (Останин А.А., Черных Е.Р. Цитокинотерапия ронколейкином в комплексном лечении и профилактике хирургических инфекций: пособие для врачей. СПб.: «Альтер Эго», 2009. С. 25-27)
Zheltova OI, Starostina NM, Tikhonova MA, Leplin OYu, Chernykh ER, Ostanin AA. Specific immunity features of patients presenting with chronic recurrent infection. Immunology. 2011; 32(4): 205-209. Russian (Желтова О.И., Старостина Н.М., Тихонова М.А., Леплина О.Ю., Черных Е.Р., Останин А.А. Особенности иммунитета больных с хроническими рецидивирующими инфекциями //Иммунология. 2011. Т. 32, № 4. С. 205-209)