Вопросы патогенеза спаечной болезни брюшины и современные подходы к ее предупреждению. Обзор литературы

Автор: Луцевич Олег Эммануилович, Акимов Владимир Павлович, Ширинский Владислав Геннадьевич, Бичев Александр Алексеевич

Журнал: Московский хирургический журнал @mossj

Статья в выпуске: 3 (55), 2017 года.

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Послеоперационные спайки по-прежнему представляют собой нерешенную проблему. В настоящее время поиск надежных средств профилактики послеоперационного спаечного процесса движется по пути использования разнообразных барьерных противоспаечных средств, поскольку они обладают очевидными преимуществами перед лекарственными средствами. Однако, развитие спаечного процесса обусловлено множеством значимых этиологических и влияющих факторов, и барьерные средства способны лишь уменьшить действие некоторого ряда из них. Другим существенным препятствием в преодолении данной проблемы авторы считают отсутствие единой формальной системы оценки выраженности спаечной болезни брюшины, так как существующие индивидуальные оценочные подходы не позволяют сравнивать параметры эффективности между тем или иным способом предотвращения спаечного процесса. В представленном обзоре детально рассмотрены достоинства и недостатки некоторых используемых в практике барьерных средств. По мнению авторов, основа успешного решения проблемы спаек состоит в сочетании качественной хирургической техники вмешательства с методами предупреждения скрытых повреждений брюшины и интраоперационной инстилляцией поликомпонентного противоспаечного барьерного геля, выбор которого основан на доказанной в строгих клинических испытаниях эффективности.

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Спаечная болезнь, индекс перитонеальных спаек, противоспаечные барьерные средства

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IDR: 142212747

Список литературы Вопросы патогенеза спаечной болезни брюшины и современные подходы к ее предупреждению. Обзор литературы

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