ОЦЕНКА ЭФФЕКТИВНОСТИ ИСПОЛЬЗОВАНИЯ ПРИСПОСОБЛЕНИЯ ДЛЯ УСТАНОВКИ ДРЕНАЖЕЙ ПРИ ЛАПАРОСКОПИЧЕСКИХ ВМЕШАТЕЛЬСТВАХ У ПАЦИЕНТОВ С ОСТРЫМ НЕКРОТИЗИРУЮЩИМ ПАНКРЕАТИТОМ

Abstract

Background. Drainage of the abdominal cavity is an important final stage of many surgeries, and sometimes also the main method of surgical intervention. The installation of drainage under pneumoperitoneum conditions may cause certain difficulties. Objective. To conduct a clinical assessment of the effectiveness of using the device for the installation of drainage during laparoscopic interventions on the abdominal organs. Material and methods. The device we developed has a form of a metal rod with a handle on one end and a circularshaped thickening on the other. A movable cone-shaped sleeve is installed on the rod, allowing the tight closing of the proximal end of the drainage tube and preventing the leakage of carbon dioxide from the abdominal cavity. The use of the suggested tool stiffens the drainage tube for its installation in the abdominal cavity in specified location and position. The tool has been used in 20 surgeries, with 3 drainage tubes installed during each of them.Results. The use of the suggested tool allowed us to reduce the average surgery time for patients in the main group by more than 12 minutes as compared with the control group. Reducing the duration of the operation lowered the patient's need for respiratory support in the early postoperative period. Conclusions. The suggested device strongly facilitates the installation of drainage tubes during video-laparoscopic surgeries, can significantly reduce surgery time and be successfully used in abdominal surgery.