OPTIMIZATION OF SURGICAL TREATMENT OF ADHESIVE DISEASE IN CHILDREN

Abstract

Adhesive disease is a term used to describe conditions associated with the formationof an adhesive process in the abdominal cavity as a result of a number of reasons, themain of which is mechanical damage to the parietal and visceral peritoneum and it ischaracterized by varying degrees of pain and frequent adhesions.The aim of the work – to make better the results of treatment of adhesions in children byimproving existing methods of surgical treatment with antiadhesive means.Material and methods. 73 operated children were examined for adhesive disease, lateadhesive intestinal obstruction. 35 children were a comparison group (comprehensivetreatment by traditional methods) and 38 children – the main group, where the proposedmethods of surgical treatment were used.Results. To improve surgical treatment and prevent recurrence of adhesions in childrenit is advisable to determine intraoperatively local concentrations of circular muscles ofthe small intestine, with partial adhesiolysis in combination with intraoperative use ofsodium hyaluronate and decamethoxine.Conclusions. Surgical treatment of adhesive disease, late adhesive intestinal obstruction inchildren by partial adhesiolysis with intraoperative determination of the local concentrationsof circular muscles of the small intestine and release of adhesions, with the simultaneous useof sodium hyaluronate, and decamethoxine is an effective treatment for adhesive disease.