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Journal of Education, Health and Sport

The results of a new approach to the method of modeling experimental postoperative peritonitis
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The results of a new approach to the method of modeling experimental postoperative peritonitis

Authors

  • M. M. Droniak Ivano-Frankivsk National Medical University

DOI:

https://doi.org/10.12775/JEHS.2020.10.12.036

Keywords

Postoperative peritonitis, experimental modeling

Abstract

Purpose: to develop a new, as close as possible to clinical conditions method of experimental modeling of postoperative peritonitis.

Materials and methods. In the experiment we use 60 rats Vistar line, weighing 160-240 g, kept in a vivarium in compliance with all standards. General clinical and biochemical studies were conducted in the laboratory of the Department of Biological and Medical Chemistry of Ivano-Frankivsk National Medical University.

Research results and their discussion. The method of experimental modeling of postoperative peritonitis developed by us is performed in sterile operating conditions. General anesthesia was performed by intramuscular injection of 0.15 ml per100 g of sodium oxybutyrate. After processing of the operating field, we performe an upper median laparotomy, a loop of the small intestine is removed into the wound, a purse string suture is applied to its wall, a cross section of the intestinal wall is made in the middle of the purse, and purse sutures are removed to the anterior abdominal wall. The node was then tied to the skin1.0 cm to the left of the median wound, sutured to the postoperative wound, and treated with betadine solution. The next day, the purse string suture dissolves and the contents of the intestine enter the abdominal cavity, causing postoperative peritonitis, which is as close as possible to clinical conditions and allow to avoid relaparotomy. With the help of a purse string suture, we avoided relaparotomy.

References

Bryusov PG. Postoperative peritonitis is an urgent problem of abdominal surgery P.G. Bryusov // Military Medical Journal - 1988 - Vol. 319. - №9. - P. 25-29.

Kovtun AI. Peculiarities of the glutathione system of the liver of rats with acute experimental peritonitis under the action of hyperbaric oxygenation and dalargin / A.I. Kovtun, IF Meshchishen, VM Kopovchuk // Buk.med. herald. - 2005. - V. 9, №2. - P. 126-127.

Boateng SJ, Matthews HK, Stevens HN, Eccleston MG. Wound healing dressing and drug delivery systems: a review. J Pharm Sci. 2008 Aug, 8(97):2892-23. Doi: 10.1002 / jps.21210.

Montravers P, Guglielminotti J, Zapella N, et al. Clinical Features and Outcome of Postoperative Peritonitis Following Bariatric Surgery. Obesity Surgery. 2013; 23: 1536-1544.

Bader F, Schroder M, Kujath P, et al. Diffuse Postoperative Peritonitis – Value of Diagnostic Parameters and Impact of Early Indication for Relaparotomy. European Journal of Medical Research. 2009; 14: 491-496.

Horer TM, Norgren L, Jansson K. Intraperitoneal glycerol levels and lactate/pyruvate ratio: early markers of postoperative complications. Scandinavian Journal of Gastroenterology. 2011; 46(7–8): 913–919.

Alqarni A, Kantor E, Grall N, et al. Clinical characteristics and prognosis of bacteraemia during postoperative intra-abdominal infections. Critical Care. 2018; 22: 175.

Lock JF, Eckmann C, Germer CT. [Characteristics of postoperative peritonitis]. Chirurg. 2016; 87(1): 20-5.

Bensignor T, Lefevre JH, Creavin B, Chafai N, Lescot T, Hor T, et al. Postoperative Peritonitis After Digestive Tract Surgery: Surgical Management and Risk Factors for Morbidity and Mortality, a Cohort of 191 Patients. World J Surg. 2018; 42(11):3589-3598.

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Published

2020-12-29

How to Cite

1.
DRONIAK, M. M. The results of a new approach to the method of modeling experimental postoperative peritonitis. Journal of Education, Health and Sport [online]. 29 December 2020, T. 10, nr 12, s. 365–371. [accessed 25.3.2023]. DOI 10.12775/JEHS.2020.10.12.036.
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Issue

Vol. 10 No. 12 (2020)

Section

Research Articles

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