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Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
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The ways of optimization of diagnostic and treatment program for acute adhesive obturation small bowel obstruction

[Original research] [Surgery]
Valeriy Totikov; Madina Kalitsova; Zaurbek Totikov; Vadim Medoev;

The results of treatment of 955 patients with acute adhesive obturation small bowel obstruction were analyzed. From special methods of investigation, we used radiography of abdominal cavity and abdominal ultrasound to diagnose and predict the course of intestinal obstruction. These studies were performed twice – at admission and after active decompression therapy, 6 hours later. According to the dynamics of clinical, radiographic and ultrasound data, we diagnosed a stage of disease. On the basis of this classification we designed a medical-diagnostic program that will predict the course of obstruction, determine the time of preoperative preparation, the indications for conservative and surgical treatment. It has reduced the number of operated patients to 15.94 %, thus avoiding unnecessary operations and reduced mortality to 1.37 %.

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References:
1. Eryukhin I. A., Petrov V. P., Khanevich M. D. Kishechnaya neprokhodimost. SPb: «Piter»; 1999. P. 43.
2. Totikov V. Z., Kalitsova M. V., Totikov Z. V., Medoyev V. V. Vestnik Sankt-Peterburgskogo universiteta. – Bulletin of St. Petersburg State University. 2010;11:79.
3. Totikov V. Z., Kalitsova M. V. Spayechnaya kishechnaya neprokhodimost. Vladikavkaz; 2012. P. 5–79.
4. Shakhov A. V. Optimizatsiya diagnostiki i lecheniya ostroy spayechnoy kishechnoy neprokhodimosti. Volgograd; 2009. P. 3-4.

Keywords: intestinal obstruction, classification, tactics


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