Novosti
Khirurgii
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indexed in Scopus



Year 2009 Vol. 17 No 1

GENERAL AND SPECIAL SURGERY

LITVIN A.A., ALI ABDULAZIZ A.M., RAGOLEVICH G.S.

INDIRECT ENDOLYMPHATIC ANTIBACTERIAL PROPHYLAXIS OF INFECTIOUS COMPLICATIONS OF SEVERE ACUTE PANCREATITIS

Hospital mortality among the patients with severe acute pancreatitis remains rather high. The research objective was efficiency evaluation of indirect endolymphatic antibacterial prophylaxis of infectious complications in the patients with severe acute pancreatitis. In the work the results of treatment of 224 patients with pancreatic necrosis are studied. Endolymphatic antibacterial prophylaxis was used in the treatment of 116 patients with severe acute pancreatitis.
Indirect endolymphatic antibacterial therapy of severe acute pancreatitis is an effective method of pathogenesis prevention of infectious complications and can be recommended as a component of the complex treatment of pancreatic necrosis. Due to the complex prophylaxis of infectious complications of severe acute pancreatitis (indirect endolymphatic antibacterial therapy, interstitial electrophonophoresis, selective intestines decontamination, a puncture and drainage of acute liquid formations under the ultrasound, etc.) the frequency of infected pancreatic necrosis has decreased from 50 % to 39 %. Endolymphatic therapy reduces requirement for expensive antibiotics, facilitates the change of tactical modes of antibacterial therapy in the patients with severe acute pancreatitis.

Keywords: severe acute pancreatitis, indirect endolymphatic antibacterial prevention.
p. 29 - 37 of the original issue
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