Electroanalgesia after operations on the abdominal organs

Electroanalgesia was used in 102 patients operated on the gastro-intestinal tract for postoperative anesthesia. The analgetic effect was obtained in 2/3 of the patients. The indicators of respiration increased and those of blood circulation remained practically the same against the background of electroanalgesia. At the same time the use of non-narcotic analgetics resulted in a reliably decreased minute volume of blood circulation below the normal limits. The authors recommend electroanalgesia in the postoperative period for patients with initial disorders of the cardio-vascular and respiratory systems.     

Aortic dissection with ischemia of the abdominal organs

Abdominal organ ischemia associated with aortic dissection is a serious problem, although its incidence is not so high. In particular, the prognosis of bowel ischemia is extremely poor, especially, in cases with the diagnosis delayed and with extensive bowel ischemia. Consequently, 1st it should be suspected, in cases with abdominal pain or distension associated with acute or chronic aortic dissection. Then, its pathology should be assessed quickly with enhanced computed tomography (CT) or ultrasound examination to clarify the mechanism of critical organ ischemia including dynamic obstruction or static obstruction of the visceral arteries. According to the mechanism of abdominal organ ischemia, the best treatment of catheter interventions such as catheter fenestration, endovascular aortic repair, and branch-stenting, or of conventional open surgery such as surgical abdominal aortic fenestration, graft replacement, and branch-bypass should be appropriately chosen without delay.