Article 9418

Title of the article



Baleev Mikhail Sergeevich, Surgeon, City Clinical Hospital №30 of Moscow District in Nizhny Novgorod (85A Berezovskaya street, Nizhny Novgorod, Russia), E-mail: 

Index UDK





Background. During the last decades, lethality rates (63–95 %) in patients with acute intestinal ischemia remain consistently high. To increase the effectiveness of planned repeat operations, it is necessary to provide tools to control pathogenetic mechanisms of development of typical postoperative complications in this group of patients.
Material and methods. A retrospective study of 28 clinical cases of surgical treatment of patients with acute intestinal ischemia developed as a result of mesenteric thrombosis (n = 10) and infringement of the small intestine in hernias (n = 18) was performed. The risks of development of respiratory insufficiency and peritonitis with features of surgical tactics and its instrumental support are compared.
Results. It has been established that the increased risk of development of infectious abdominal complications is associated with tactics of closed abdominal management and emergency relaparotomy (p = 0.028). The requirements for the instrumental support of the re-examination operations are defined. A technical device was developed and implemented that provide low-traumatic repeated operations in the laparoscopic and open abdominal auditory mode. A clinical example of the use of the proposed method in the treatment of a patient with acute intestinal ischemia is given. 

Key words

intestinal ischemia, mesenteric thrombosis, strangulated intestine, reexamination operation, laparrolifting, abdominal compartment - syndrome, relaparoscopy 

Download PDF

1. Demchenko V. I., Kukosh M. V., Kolesnikov D. L. Novosti khirurgii [Surgery news]. 2014, vol. 22, no. 3, pp. 223–226.
2. Bagdasarov V. V. Khirurgiya. Zhurnal im. N. I. Pirogova [Surgery. Journal named after N.I. Pirogov]. 2013, no. 6, pp. 44–50.
3. Acosta S., Björck M. BJS. 2014, vol. 101, no. 1, pp. 212–219.
4. Khitar'yan A. G. Vestnik neotlozhnoy i vosstanovitel'noy khirurgii [Bulletin of emergency and restorative surgery]. 2016, vol. 1, no. 2, pp. 219–226.
5. Izmaylov S. G., Ryabkov M. G., Shchukin A. Yu. Annaly khirurgii [Annals of surgery]. 2010, no. 2, pp. 37–41.
6. Ryabkov M. G., Izmaylov S. G., Martynov V. L., Semenov A. G., Rulev V. N., Sorokin M. N. Meditsinskiy al'manakh [Medical almanac]. 2013, no. 5 (28), pp. 87–91.
7. Savel'ev V. S., Spiridonov I. V. Ostrye narusheniya mezenterial'nogo krovoobrashcheniya [Acute disorders of the mesenteric blood circulation]. Moscow: Meditsina, 1979, 233 p.
8. Timerbulatov V. M. Bulletin of Experimental & Clinical Surgery. 2016, vol. 9, no. 4, pp. 44–48.
9. Pat. 2355329 Russian Federation, MPK A61B17/00, A61V5/03. Sposob dlya lecheniya peritonita [A method of the peritonitis treatment]. S. G. Izmaylov et al.; patentoobladatel' Institut FSB Rossii (g. Nizhniy Novgorod). No. 2006135012/14; appl. 03.10.2006; publ. 20.05.09.
10. Cocorullo G. et al. World Journal of Emergency Surgery. 2017, vol. 12, no. 1, p. 4.
11. Izmaylov S. G., Ryabkov M. G., Lukoyanychev E. E., Butkevich A. Ts., Bogdanov S. N., Nalivayskiy A. A. Vrach-aspirant [Doctor-postgraduate student]. 2012, vol. 51, no. 2.1, pp. 158–164.
12. Miminoshvili O. I. Suchasnі medichnі tekhnologії [Modern medical technologies]. 2011, no. 3-4, pp. 235–238.
13. Mitrofanova N. N. Meditsinskiy al'manakh [Medical almanac]. 2014, no. 2, pp. 32–38.


Дата создания: 17.06.2019 13:35
Дата обновления: 17.06.2019 14:47