Biomeditsina va amaliyot jurnali, 2022 №2
Subject of the article
POSSIBILITIES OF LASER RADIATION IN TREATMENT OF LEAKAGE OF COLONIC ANASTOMOSIS IN THE EXPERIMENT (419-427)
Authors
SADIKOV Rustam Abrarovich BABADJANOV Azam Khasanovich TURGUNOV Sherzod Shokirovich BOTIROV Akram Kodiralievich NOSIROV Muzaffar Madaminovich
Institution
Republican Specialized Scientific and Practical Medical Center of Surgery named after Academician V. Vakhidov, Andijan State Medical Institute
Abstract
ANNOTATION The authors, in the experimental group of animals, to prevent complications of colon suture insufficiency (CSI), performed therapeutic manipulations in the form of sessions of laser exposure to the zone of the formed colon stump. The radiation used by the authors in the 980 nm spectrum penetrates deeply into the tissues, at the same time, the high frequency of radiation enhances microcirculation and does not lead to resorption of infiltrates. In the course of experimental studies, it was confirmed that the technique of laser exposure contributes to the arrest of the ischemia process in the zone of the cecum stump, at the same time does not limit the processes of infiltration formation and contributes to the subsiding of inflammation.
Key words
Key words: colon surgery, colon resection, intestinal anastomosis, colon suture incompetence (CSI), low-energy laser (LEL), infrared (IR).
Literature
1. Ахметзянов Ф.Ш., Егоров В.И. Несостоятельность швов колоректального анастомоза (обзор литературы). Сибирский онкологический журнал. 2016; 15(2):107-112. 2. Бутенко А.В., Разбирин В.Н. Рак прямой кишки. Современные направления и тенденции в лечении (обзор литературы) // Сибирский онкологический журнал. 2011. № 6. С. 83– 89. 3. Гафуров С. Д., Катахонов Ш. М., Холмонов М. М. Особенности применения лазеров в медицине //European science. – 2019. – №. 3 (45). С.32-38. 4. Данилин Н. А., Курдяев И. В., Абдулаева С. В. Оценка клинических результатов хирургического лечения келоидных и гипертрофических рубцов с использованием лазера //Лазерная медицина. – 2020. – Т. 23. – №. 4. – С. 38-44.). 5. Ермаков Д.Ф. Факторы риска несостоятельности аппаратного анастомоза после передней резекции прямой кишки: Дис. канд. мед. наук. М., 2012. 6. Adams K, Papagrigoriadis S. Little consensus in either definition or diagnosis of a lower gastro- intestinal anastomotic leak amongst colorectal surgeons. Int J Color Dis. 2013;28(7):967–971. doi: 10.1007/s00384-013-1640-x 7. An V, Chandra R, Lawrence M. Anastomotic Failure in Colorectal Surgery: Where Are We at?. Indian J Surg. 2018;80(2):163-170. doi:10.1007/s12262-018-1745-0 8. Bhangu A, Singh P, Fitzgerald JEF, Slesser A, Tekkis P. Postoperative nonsteroidal anti- inflammatory drugs and risk of anastomotic leak: meta-analysis of clinical and experimental studies. World J Surg. 2014; 38:2247–2257. doi: 10.1007/s00268-014-2531-1. 9. Bollo J, Turrado V, Rabal A, Carrillo E, Gich I, Martinez MC, et al. Randomized clinical trial of intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy (IEA trial) Br J Surg. 2020;107:364–72. 10. Chaouch MA, Kellil T, Jeddi C, Saidani A, Chebbi F, Zouari K. How to Prevent Anastomotic Leak in Colorectal Surgery? A Systematic Review. Ann Coloproctol. 2020;36(4):213-222. doi:10.3393/ac.2020.05.14.2, 11. Luglio G, Corcione F. Stapled versus handsewn methods for ileocolic anastomoses. Tech Coloproctol. 2019; 23:1093–5. 12. McDermott FD, Heeney A, Kelly ME, Steele RJ, Carlson GL, Winter DC. Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks. Br J Surg. 2015; 102:462–79. 13. Phan K, Oh L, Ctercteko G, Pathma-Nathan N, El Khoury T, Azam H, et al. Does a stoma reduce the risk of anastomotic leak and need for re-operation following low anterior resection for rectal cancer: systematic review and meta-analysis of randomized controlled trials. J Gastrointest Oncol. 2019; 10:179–87. 14. Rollins KE, Javanmard-Emamghissi H, Lobo DN. Impact of mechanical bowel preparation in elective colorectal surgery: a meta-analysis. World J Gastroenterol. 2018;24:519-36. 15. Sciuto A, Merola G, De Palma GD, Sodo M, Pirozzi F, Bracale UM, et al. Predictive factors for anastomotic leakage after laparoscopic colorectal surgery. World J Gastroenterol. 2018; 24:2247–60.