The volume of surgery on the abdominal cavity organs in patients with associated cardiovascular and respiratory system diseases

The cardiovascular and respiratory disturbances are the main risk factor in acute and chronic surgical deseases of the abdominal cavity organs, including oncological. It is limits the possibility and volume of the diagnostics and surgical tactics choice. The complicated current of main disease is a risk factor of operation perform and the reason of the undertaking inadequate and palliative intervention, which significant reduce of the quality of life. Real by risk level reductions in surgery is a determination of tissues viability, estimation of compensatory reserve sick evidences for determination for operation performance including simultaneous and staged.     

The correction of disorders of phosphorus and calcium metabolism in patients following surgery of the abdominal organs

In 158 patients operated on the abdominal organs, hypophosphatemia and decrease in the content of ATP, 2,3-DPG in the erythrocytes were revealed. The level of protein-free calcium was increased in the plasma and erythrocytes. This evidenced in favour of the increased ionized calcium content. Intravenous administration of potassium dihydrophosphate prevented the development of hypophosphatemia and concomitant decrease in the content of inorganic phosphorus, ATP, 2,3-DPG in the erythrocytes.     

Expediency of the liposuction in surgery of abdominal surgery, abdominal diseases and small organs of the pelvis

The experience of performance of dermatolipectomy in 124 patients while conducting operative intervention for abdominal hernia and for the abdominal cavity and the small pelvis organs diseases was summarized. The risk degree of the simultant operation performance was estimated while conducting the proper preoperative preparation and the surgical correction volume was planned beforehand. The simultant operation performance did not influence the stationary treatment duration significantly, it also permitted to reduce the duration of temporary disability to shorten significantly the treatment expenses, to stop the stress influence on patient's psychological state caused be the reoperation conduction necessity. Low-molecular heparin fraxiparin (produced by Sanofi firm) was applied for the thromboembolic complications prophylaxis under control of the blood coagulation time and of the coagulogramm indices.