Abstract:
Abstract.
Background: Laparoscopic surgery for combined surgical pathology demands the technique of simultaneous operations. The technique of simultaneous
treatment of inguinal hernia (IH) and gallstone disease (GD) has been developed and tested.
Material and methods: Prospected parameters were: heart rate (HR), variation range (∆X), mode of the amplitude (AMo), and duration mode (Mo).
The level of Index of Nervous Tension (INT) was evaluated by the Baevsky method for estimating stress level and tension of the sympathetic nervous system.
Parameters were compared between the control group (No1, n=76 one operation for IH) and the simultaneous surgery group (No 2, n=58 IH+GD). In all cases
laparoscopic transabdominal periperetoneal alohernioplasty was performed.
Results: Heart rate was increasing after surgery, maximum after 2 h (by 26.3% and 23.3%, p>0.05); the ∆X in both groups decreased after 2 h (by 12.4%
and 12.1%, p<0.05) and after 2 days (5.3% and 6.8%, p<0.05); Mo did not differ in both groups (p>0.05); the dynamics of the AMo increased with a
maximum after 2 h (by 20.2% and 20.6%, p<0.05); the INT rate was increasing up to 2 hours postoperative (by 93.6% and 93.4% (p<0.05)). All indicators
were back to normal rates within two days and did not differ in both groups.
Conclusions: No difference in the level of tension in the sympathetic nervous system and the degree of centralization of heart rate regulation was registered
in both groups. Our developed technique has been shown safe and effective.
Description:
Department of Surgery by Educational and Scientific Institute of Postgraduate Education
I. Horbachevsky, Ternopil, National Medical University, Ukraine,
Volyn Regional Clinical Hospital, Lutsk, Ukraine