The Use of Drainage Structures in Abdominal Surgery in the Postoperative Period (Experimental Study)

Preventive drainage of the abdominal cavity after gastrointestinal surgery is widely used. However, debates about the need for abdominal drainage have not subsided so far.The aim of the study: to establish the effect of the duration of the use of drains on the development of postoperative complicati...

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Autores principales: I. A. Shurygina, N. I. Ayushinova, M. G. Shurygin, N. N. Dremina, E. A. Lozovskaya, A. V. Nevezhina, E. E. Chepurnykh
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Publicado: Scientific Сentre for Family Health and Human Reproduction Problems 2020
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spelling oai:doaj.org-article:4930c68b7b8a43129b00adecfa6444d82021-11-23T06:14:44ZThe Use of Drainage Structures in Abdominal Surgery in the Postoperative Period (Experimental Study)2541-94202587-959610.29413/ABS.2020-5.2.11https://doaj.org/article/4930c68b7b8a43129b00adecfa6444d82020-05-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2310https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Preventive drainage of the abdominal cavity after gastrointestinal surgery is widely used. However, debates about the need for abdominal drainage have not subsided so far.The aim of the study: to establish the effect of the duration of the use of drains on the development of postoperative complications in the experiment.Materials and methods. For the experiments, male Wistar rats weighing 220-250 g at the age of 9 months were used. A mid laparotomy was performed, then the serous-muscular layer of the cecum was opened, 1 cm long, followed by suturing the wound with a self-twisting suture, and the parietal peritoneum of the right lateral canal was sized 1.5х1.5 cm. A silicone catheter was installed. The study was conducted in two groups. In the first group, the drainage was removed after 24 hours, in the second - after three days. The study was conducted on the 3rd, 7th, 14th and 30th day, 6 animals in each group/at each term. The severity of the adhesive process in the abdominal cavity, the presence of an inflammatory process in the peritoneum, and hematological parameters were evaluated.Results. It was established that the severity of the adhesion process in groups in all periods of observation was comparable. The severity of purulent-inflammatory processes in the abdominal cavity on the 14th and 30th day was significantly lower when installing drainage for 1 day than 3 days.Conclusion. A study with the installation of drainage in the absence of infection of the peritoneum showed that the duration of the installation of the drain adversely affects the incidence of purulent-inflammatory changes in the abdominal cavity, which must be taken into account when planning the use of drainages in abdominal surgery.I. A. ShuryginaN. I. AyushinovaM. G. ShuryginN. N. DreminaE. A. LozovskayaA. V. NevezhinaE. E. ChepurnykhScientific Сentre for Family Health and Human Reproduction Problemsarticleabdominal surgerydrainagecomplicationsexperimental modelsScienceQRUActa Biomedica Scientifica, Vol 5, Iss 2, Pp 90-95 (2020)
institution DOAJ
collection DOAJ
language RU
topic abdominal surgery
drainage
complications
experimental models
Science
Q
spellingShingle abdominal surgery
drainage
complications
experimental models
Science
Q
I. A. Shurygina
N. I. Ayushinova
M. G. Shurygin
N. N. Dremina
E. A. Lozovskaya
A. V. Nevezhina
E. E. Chepurnykh
The Use of Drainage Structures in Abdominal Surgery in the Postoperative Period (Experimental Study)
description Preventive drainage of the abdominal cavity after gastrointestinal surgery is widely used. However, debates about the need for abdominal drainage have not subsided so far.The aim of the study: to establish the effect of the duration of the use of drains on the development of postoperative complications in the experiment.Materials and methods. For the experiments, male Wistar rats weighing 220-250 g at the age of 9 months were used. A mid laparotomy was performed, then the serous-muscular layer of the cecum was opened, 1 cm long, followed by suturing the wound with a self-twisting suture, and the parietal peritoneum of the right lateral canal was sized 1.5х1.5 cm. A silicone catheter was installed. The study was conducted in two groups. In the first group, the drainage was removed after 24 hours, in the second - after three days. The study was conducted on the 3rd, 7th, 14th and 30th day, 6 animals in each group/at each term. The severity of the adhesive process in the abdominal cavity, the presence of an inflammatory process in the peritoneum, and hematological parameters were evaluated.Results. It was established that the severity of the adhesion process in groups in all periods of observation was comparable. The severity of purulent-inflammatory processes in the abdominal cavity on the 14th and 30th day was significantly lower when installing drainage for 1 day than 3 days.Conclusion. A study with the installation of drainage in the absence of infection of the peritoneum showed that the duration of the installation of the drain adversely affects the incidence of purulent-inflammatory changes in the abdominal cavity, which must be taken into account when planning the use of drainages in abdominal surgery.
format article
author I. A. Shurygina
N. I. Ayushinova
M. G. Shurygin
N. N. Dremina
E. A. Lozovskaya
A. V. Nevezhina
E. E. Chepurnykh
author_facet I. A. Shurygina
N. I. Ayushinova
M. G. Shurygin
N. N. Dremina
E. A. Lozovskaya
A. V. Nevezhina
E. E. Chepurnykh
author_sort I. A. Shurygina
title The Use of Drainage Structures in Abdominal Surgery in the Postoperative Period (Experimental Study)
title_short The Use of Drainage Structures in Abdominal Surgery in the Postoperative Period (Experimental Study)
title_full The Use of Drainage Structures in Abdominal Surgery in the Postoperative Period (Experimental Study)
title_fullStr The Use of Drainage Structures in Abdominal Surgery in the Postoperative Period (Experimental Study)
title_full_unstemmed The Use of Drainage Structures in Abdominal Surgery in the Postoperative Period (Experimental Study)
title_sort use of drainage structures in abdominal surgery in the postoperative period (experimental study)
publisher Scientific Сentre for Family Health and Human Reproduction Problems
publishDate 2020
url https://doaj.org/article/4930c68b7b8a43129b00adecfa6444d8
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