title: [PROPHYLAXIS OF AN ACUTE ADHESIVE ILEUS RECURRENCE].
abstract: The results of treatment of 56 patients were studied, in whom for adhesive abdominal disease, complicated by an acute adhesive ileus (AAI), the adhesiolysis with intraabdominal introduction of antiadhesive measures, named Mezogel, Defensal were conducted, as well as in 42 patients, operated on in emergency for AAI, using a routine method. Application of videolaparoscopy gives a possibility to control the adhesive process in the early postoperative period, what is necessary for prophylaxis of the adhesive disease occurence. Application of the apparatus, we have elaborated, permitted to conduct a precisional viscerolysis due to good visualization of organs, pathologically changed and healthy tissues. Application of the procedures elaborated for prophylaxis of the AAI recurrence have promoted the reduction of risk for the AAI occurence down to 1.8%, and of disorders of the gut contents transit in terms up to 1 yr - to 3.6%.
authors.forename: D A
authors.initials: DA
authors.lastname: Evtushenko
mesh_terms: D034841:Abdominal Cavity / Q000473:pathology / Q000601:surgery; D000328:Adult; D000368:Aged; D004210:Dissection / Q000379:methods; D005260:Female; D005782:Gels / Q000627:therapeutic use; D006801:Humans; D045823:Ileus / Q000188:drug therapy / Q000473:pathology / Q000517:prevention & control / Q000601:surgery*; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012008:Recurrence; D000267:Tissue Adhesions / Q000188:drug therapy / Q000473:pathology / Q000517:prevention & control / Q000601:surgery*; D020535:Video-Assisted Surgery / Q000295:instrumentation / Q000379:methods*
chemical_list: D005782:Gels