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MODERN APPROACHES TO DIAGNOSIS AND TREATMENT OF ACUTE INFLAMMATORY INTESTINAL POSSIBILITY.

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ARTICLE ANNOTATION

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Timely diagnosis and selection of the optimal surgical treatment option for patients with acute intestinal obstruction are one of the most difficult and urgent problems in emergency abdominal surgery [8,12]. Back in 1971, Yu.M. Dederer wrote that “Acute intestinal obstruction has earned the sad glory of a very heavy in course, difficult to diagnose and unfavorable for the outcome of the disease” [2]. The formation of adhesions of the abdominal cavity is one of the main causes of intestinal obstruction, isolated in a separate form - acute adhesive intestinal obstruction [16]. This is due to a number of inflammatory processes, after injuries and surgical interventions. The problem is becoming increasingly urgent due to the increasing number and volume of various surgical interventions [8]. Peritoneal adhesions are increasingly common in young patients, leading to the development of a number of complications. Abdominal adhesions are one of the most common causes of intestinal obstruction with a high level of mortality without a tendency to decrease [9]. The incidence of adhesions varies from 67% to 93% after surgical abdominal operations and is almost 97% after open gynecological interventions. In modern abdominal surgery, the problem of the formation of postoperative abdominal adhesions does not lose its relevance [11,3]. Acute adhesive intestinal obstruction is distinguished by the severity and speed of development of pathophysiological changes in strangulated forms, a variety of clinical manifestations and the associated difficulties of diagnosis, tactical and technical difficulties of surgical treatment and prevention [4,15]. Therefore, postoperative mortality in case of acute adhesive intestinal obstruction is kept at 15%, work capacity is restored only in 40–50% of patients, and after conservative treatment in 30–35% [5].

AUTHORS

Z.Aslonov

S.Baymakov

A.Ashurmetov

S.Begmatov

Tags

# лапароскопия# laparoscopy# acute adhesive intestinal obstru# спаечная болезнь# острая спаечная кишечная непрохо# адгезиолизис# adhesive disease# adhesiolysis# yopishqoq kasallik# o’tkir yopishqoq ichak tutilishi# laparoskopiya# adgezioliz

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Article Identifiers

ROI:

https://eroi.uz/11.0037/A1119-0038

DOI:

Not Available

References

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