Порівняльний аналіз температурної реакції поверхні шкіри мошонки під час хірургічного лікування пацієнтів із патологією вагінального відростка очеревини різними способами

Abstract

The vaginal peritoneal process pathology constitutes a widespread problem in the pediatric population. Pathology of the vaginal peritoneal process is 6 times more common among boys. The observations point out a possible array of male complications (scrotal edema, postoperative hydrocele, iatrogenic testicular refraction) occurring on the background of violation of the integrity of soft tissues, blood and lymphatic vessels. The analysis of local body reactions (namely, the temperature of the surface of the scrotal skin) in response to the pathology as well as its treatment was continued in the current study. Purpose - to detect the dynamic change of the scrotum skin surface temperature study with a view to comparing different methods of treating pathology of the vaginal peritoneal process. Materials and methods. The study included 122 boys under the age of 18 who have been treated for pathology of the vaginal peritoneal process (inguinal hernia, hydrocele testis) at the pediatric surgery clinic of National Pirogov Memorial Medical University, Vinnytsya, Ukraine. A VEGA NC600 non-contact infrared thermometer was used to measure the scrotal skin surface remotely on the day of hospitalisation, on the first postoperative day and on the seventh postoperative day. Results. The general dynamics of scrotal skin surface temperature, both on the pathological and healthy sides, are as follows: a slight increase in scrotal skin temperature in response to surgery is observed on the first postoperative day, followed by a subsequent decrease to preoperative levels. Conclusions. The study of the dynamic temperature changes of the scrotum skin surface in the case of correction of the vaginal peritoneal process pathology using various methods demonstrated that one of the local reactions of the body to the surgery was a slight increase of the average data on the side of the surgical intervention on the first day, followed by a decrease in the preoperative average level. A similar temperature response was recorded on the healthy side. The research was adhered to the principles of the Declaration of Helsinki. The research protocol was agreed by the Local Ethics Committee of the mentioned institution. The patients' informed consent was obtained for the study. No conflict of interests was declared by the authors.