ABSTRACT
Pathogenetic peculiarities of chronic intraabdominal hypertension syndrome (CHIHS) in patients, suffering morbid obesity (MO), to whom bariatric operative interventions were performed, were studied. The intraabdominal pressure factor impact on the concurrent diseases and postoperative period course in patients, suffering MO, was analyzed.
Subject(s)
Bariatric Surgery/methods , Intra-Abdominal Hypertension/complications , Obesity, Morbid/surgery , Adolescent , Adult , Body Mass Index , Cardiovascular Physiological Phenomena , Female , Humans , Intra-Abdominal Hypertension/diagnosis , Intra-Abdominal Hypertension/physiopathology , Intra-Abdominal Hypertension/surgery , Male , Middle Aged , Monitoring, Ambulatory , Monitoring, Intraoperative , Obesity, Morbid/complications , Obesity, Morbid/diagnosis , Obesity, Morbid/physiopathology , Respiratory Physiological Phenomena , Treatment Outcome , Young AdultABSTRACT
In 2009 in the clinic a biliopancreatic shunting operation with duodenal switch was performed in accordance to D. Hess-P. Marceau method in 26 patients, suffering morbid obesity. First clinical results of operative intervention (the fixed terms of follow-up for 6 months after the operation) were studied in 15 patients. The main complications, the impact of operative intervention on the course of comorbidities, associated with obesity, diseases and metabolic disorders, were analyzed.
Subject(s)
Biliopancreatic Diversion/methods , Diabetes Mellitus/surgery , Duodenum/surgery , Dyslipidemias/surgery , Gastroesophageal Reflux/surgery , Hypertension/surgery , Obesity, Morbid/surgery , Adult , Biliary Tract , Body Mass Index , Body Weight , Diabetes Complications , Diabetes Mellitus/pathology , Dyslipidemias/complications , Dyslipidemias/pathology , Female , Follow-Up Studies , Gastroesophageal Reflux/complications , Gastroesophageal Reflux/pathology , Humans , Hypertension/complications , Hypertension/pathology , Male , Middle Aged , Obesity, Morbid/complications , Obesity, Morbid/pathology , Severity of Illness Index , Treatment OutcomeABSTRACT
The experience of treatment of 52 patients suffering cardial and pulmonary insufficiency with giant defects of abdominal wall was summarized. 25 of them were preparative for operative treatment using of progressive pneumoperitoneum techniqueand 27 were treated without special preoperative preparation. Preoperative progressive pneumoperitoneum as a first stage of treatment of such patients significantly decrease early postoperative morbidity rate.
Subject(s)
Abdominal Wall/surgery , Hernia, Abdominal/surgery , Pneumoperitoneum, Artificial/methods , Preoperative Care/methods , Adolescent , Adult , Aged , Cardiac Output, Low/epidemiology , Cardiac Output, Low/etiology , Cardiac Output, Low/prevention & control , Female , Humans , Male , Middle Aged , Postoperative Complications/epidemiology , Postoperative Complications/prevention & control , Respiratory Insufficiency/epidemiology , Respiratory Insufficiency/etiology , Respiratory Insufficiency/prevention & control , Retrospective Studies , Treatment Outcome , Young AdultABSTRACT
The influence of intraabdominal hypertension on polyorgan insufficiency and bacterial translocation formation was studied in experiment on 40 white male rats owing mass about 250-300 g. Intraabdominal pressure (IAP) raising in the rats causes abdominal ischemia and consequent early changes in anterior abdominal wall muscles, small intestine and large bowel, kidneys, spleen, liver, and bacterial.translocation as well. The results of investigation trusts the necessity of monitoring and IAP effective control conduction in surgical patients.