title: [MORPHOLOGICAL CHANGES OF SKIN IN OPERATIVE WOUND IN SYNDROME OF OPIOID-INDUCED HYPERALGESIA].
abstract: Morphological changes of skin in region of operative wound were investigated. There was established, that while application of fentanyl in high doses, using constant infusion for anesthesia in early postoperative period in children, operated for abdominal cavity tumors, the opioid-induced hyperalgesia occurrence is possible, what is accompanied by morphological changes in skin around operative wound, necrosis in centre of focus, pronounced perifocal reactive changes in a kind of significant inflammation and essential disorder of microcirculation with formation of small neural fibers on the 14th day. Pronounced fibrosis of derma, formation of big quantity of collagen fibers with edema, stratification.
authors.forename: D V
authors.initials: DV
authors.lastname: Dmytriyev
authors.forename: V S
authors.initials: VS
authors.lastname: Konoplytskyi
mesh_terms: D034841:Abdominal Cavity / Q000294:innervation / Q000473:pathology / Q000601:surgery; D000008:Abdominal Neoplasms / Q000473:pathology / Q000601:surgery*; D000279:Administration, Cutaneous; D000293:Adolescent; D000701:Analgesics, Opioid / Q000009:adverse effects*; D002648:Child; D004487:Edema / Q000139:chemically induced / Q000473:pathology* / Q000503:physiopathology; D005260:Female; D005283:Fentanyl / Q000009:adverse effects*; D006801:Humans; D006930:Hyperalgesia / Q000139:chemically induced / Q000473:pathology* / Q000503:physiopathology; D008297:Male; D009412:Nerve Fibers / Q000473:pathology; D011184:Postoperative Period; D012867:Skin / Q000473:pathology
chemical_list: D000701:Analgesics, Opioid; D005283:Fentanyl