title: [Role of heat flow generated by an abdominal cavity in monitoring of acute surgical pathology of abdominal organs].
abstract: Despite of significant development of modern surgery results of treatment of acute diffused peritonitis and acute intestinal obstruction are still unsatisfactory. Successful treatment of these conditions depends considerably on timely and adequate diagnosing as it gives a choice of optimal treatment tactics. Measuring of a human body heat flow in areas of organs affected by pathology in cases of acute diffused peritonitis and acute intestinal obstruction provides a possibility to improve the principles of early differential diagnosing, to form new approaches to treatment tactics and monitoring of general health status of a patient during early postoperative treatment. 47 patient suffering from acute diffused peritonitis and 42 patients suffering from acute intestinal obstruction have been examined; the patients were divided into groups based on abdominal cavity exudates character, intestinal obstruction type and intra-abdominal hypertension grade. Measurement of abdominal cavity heat flow was performed by a contact method with use of thermoelectric medical thermometer. Intra-abdominal hypertension was measured by generally used transvesical method. It has been established that abdominal cavity heat flow correlates with character of abdominal cavity exudates; this is also confirmed by reliable difference between serous peritonitis and fibrinopurulent peritonitis indices. Indices in case of acute intestinal obstruction are lower than ones in case of acute diffused peritonitis as there are no inflammatory changes of peritoneum. Development of intra-abdominal hypertension of grades 3-4 directly influences the heat flow extent; this is explained by accelerated and aggravated pathological changes of inner organs cased by the main disease. Thus, abdominal cavity heat flow fully reflects degree of purulent and inflammatory processes of abdominal cavity organs and can be used for additional diagnosing and clinical course monitoring.
authors.forename: V Iu
authors.initials: VIu
authors.lastname: Bodiaka
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D034841:Abdominal Cavity / Q000503:physiopathology*; D000328:Adult; D001831:Body Temperature; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods*; D010538:Peritonitis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D011184:Postoperative Period; D057234:Preoperative Period; D015203:Reproducibility of Results; D013817:Thermography / Q000379:methods*