Advantages of computer tomography in the diagnosis of acute adhesive intestinal obstruction after gynecologic operations
https://doi.org/10.24835/1607-0763-2019-2-119-126
Abstract
Adhesive intestinal obstruction is one of the most common and potentially fatal complications after abdominal surgery. Among gynecological operations, leading to the development of adhesive intestinal obstruction, abdominal hysterectomy is the most common cause of emergency intervention. At the same time, in the recent past, mortality was observed from 40% to 60%. Currently ,due to the development of endovideosurgery, it was possible to reduce the postoperative mortality rate however, the mortality rate remains between 10% and 20% in all patients with adhesive small bowel obstruction. The cornerstone in the improvement of treatment results is the timely diagnosis of this complication. We have developed criteria for early computer tomographic diagnosis of adhesive intestinal obstruction in patients after gynecological surgery (patent No. 2669729). These include: free fluid in the lumen of the small intestine more than 200.0 ml, in two or more areas, pneumatized intestinal loops, expansion of the intestinal wall by 2.1 mm or more. The study was conducted in two groups of patients with adhesive peritoneal disease with intestinal obstruction, which included computed tomography (104 patients) and examined according to the traditional method (60 people). The validity of the diagnostic computer tomographic criteria of the study leaves no doubt about the need for their use in the preoperative prediction of access and the volume of surgery.
About the Authors
F. F. Mufazalov
Federal state budgetary educational institution of higher education “Bashkir state medical University” of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Fagim F. Mugazalov – doct. of med. sci., Professor of the Department of Radiation Diagnostics and Radiation Therapy B
Deputy Chief Physician of the Republican Clinical Oncology Dispensary, Chief Radiologist of the Ministry of Health of the Republic of Bashkortostan
I. F. Sufiyarov
Federal state budgetary educational institution of higher education “Bashkir state medical University” of the Ministry of Health of the Russian Federation
Russian Federation
Ildar F. Sufiyarov – doct. of med. sci., Professor, Associate Professor of the Department of Surgical Diseases, Dean of the Pediatric Faculty
Russian Federation
Ildar F. Sufiyarov – doct. of med. sci., Professor, Associate Professor of the Department of Surgical Diseases, Dean of the Pediatric Faculty
G. R. Yamalova
City Clinical Hospital No 13
Russian Federation
Russian Federation
Guzel R. Yamalova – postgraduate student, radiologist
Nezhinskaya str., 28, 450112 Ufa, Phone: +7-347-216-13-13
A. G. Hasanov
Federal state budgetary educational institution of higher education “Bashkir state medical University” of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Anvar G. Hasanov – doct. of med. sci., Professor, head of the Department of surgical diseases
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Review
For citations:
Mufazalov F.F., Sufiyarov I.F., Yamalova G.R., Hasanov A.G. Advantages of computer tomography in the diagnosis of acute adhesive intestinal obstruction after gynecologic operations. Medical Visualization. 2019;(2):119-126. (In Russ.) https://doi.org/10.24835/1607-0763-2019-2-119-126
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