MONITORING OF POST-OPERATIVE PERIOD INDEXES IN PATIENTS WITH ACUTE                        PARAPROCTITIS OF ANAEROBIC ETIOLOGY

Sergatskiy Konstantin Igorevich, Candidate of medical sciences, senior lecturer, sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), sergatsky@bk.ru
Nikol'skiy Valeriy Isaakovich, Doctor of medical sciences, professor, sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), pmisurg@gmail.com
Sivkov Evgeniy Aleksandrovich, Assistant, sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), pmisurg@gmail.com
Koveshnikova Tat'yana Mikhaylovna, Head of bacteriological laboratory, Penza Regional Clinical Hospital named after N. N. Burdenko (28 Lermontova street, Penza, Russia), tatyana_m@mail.ru
Gerasimov Aleksandr Viktorovich, Assistant, sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), gerasimov-av30@yandex.ru

616-089:616-08

Background. The problem of acute paraproctitis treatment is definitely a topical one. One of the research directions that allows to achieve the possibility of forecast-ing the inflammation process dynamics is the study of biological and electrochemi-cal processes, taking place in the inflammatory process. The aim of the study is to develop the objective method of evaluation of inflammatory dynamics in patients with acute paraproctitis, caused by anaerobic microflora.
Methods. The research included 17 patients with acute paraproctitis of anaerobic etiology who were treated in a coloproctological department. The measurements of current perfomance were carried out using joulemetry every 24 hours (from 1st to 4th day) after opening of the phlegmon of connective tissues, caused by acute anaerobic paraproctitis.
Results. Depending on the received data the patients were divided into patients with decreased and increased parameters, which correlated to clinical and labora-tory data of regressing and progressing inflammation processes in pararectal cellular tissues.
Conclusion. The objectification of inflammatory process dynamics in pararectal cellular tissues using the method of joulemetrics in complex with other laboratory and instrumental methods of diagnostics allows to make a decision about repeated sanation of an inflammatory focus, opening of additional purulent leakages of acute paraproctitis, caused by anaerobic microflora.

acute paraproctitis of anaerobic etiology, joulemetry, current performance.

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