Анатомо-клиническое обоснование регионарных инфузий при операциях на желудке

Abstract

Abstract Background: Direct results any operative interference on stomach, including with use vagotomy, in multim are defined by frequency of the complications, typical of given type operative interference. The Purpose of the work was increasing to efficiency of the surgical treatment by wounds of the stomach by influence on nervous device of the stomach, promoting making the optimum conditions for healing by wounds. Material and methods: On 50 dead bodies of the adult people both flap studied anatomical particularities an paragastric celluloses of the person, experimental developed ways an paragastric infusion. The Approbation of the methods conducted on 186 rats to lines “Vistar” with model operative interference on stomach in three series experience. Used entering the solution of Novocain 0,25% in cellulose of the ligaments of the stomach and tela subserosa. Studied the current of the postoperative period, change the mass laboratory animal, condition is reeked stomach, degree of the development of the adhesive process in abdominal cavity. Results: The Differences of the current of the postoperative period beside checking and experienced animal. The Animals of the checking groups were more active, with more expressing reduction of the mass of the body and more slow its reconstruction. The Noted essential differences регенератов by wounds of the stomach main and checking groups on 7,10 and 14 day after operation. Visual in beside animal in experienced group scar were more rubber-band and strong that completely corresponded completely corresponded to result a histology and tensiometry. Conclusions: Called on studies have shown, that regional introduction 0,25% solution of Novocain in cellulose of the ligament of the stomach or in visceral cellulose of the organ perfects result operative interference on stomach, reduces death-rate for count of the making the conditions, preventing development festering-inflammatory processes and formation soldering.