Substantiation of the possibility of osteopathic correction inclusion in the measures complex for the preoperative preparation of patients planned for extended abdominal surgery

Abstract

Introduction. The problem of predicting and preventing of the complications development in the intra- and postoperative period is acutely relevant. There is strong evidence for a correlation between the patient’s preoperative status and the incidence of perioperative complications. At the same time, the search for additional methods for assessing and correcting the preoperative status remains an important task of modern medical science. In the context of this task, more and more attention is being paid to the approaches to diagnosis and treatment developed by osteopathy. Information about such studies for patients planned for abdominal surgery is practically absent in open sources today.The goal of research — is to substantiate the possibility of osteopathic correction inclusion in the measures complex for the preoperative preparation of patients planned for extended abdominal surgery.Materials and methods. The study involved 30 patients planned for extended abdominal surgery. The main and control groups were formed by the method of simple randomization, 15 people were included in each group. The participants of the control group received a standard set of measures for preoperative preparation, and the participants of the main group additionally underwent a course of osteopathic correction. The functioning indicators of the respiratory system [including the rapid shallow breathing index (RSBI) and the maximum value of the negative inspiratory force (NIF)] and the autonomic nervous system (Kerdo index), the pain syndrome severity (assessed by a visual analogue scale), and the actual time of transfer opportunity of patients from intensive care to a profile department (assessed by a modified Aldrete–Kroulik scale).Results. It was found that after the premedication with the previous osteopathic correction course, the number of patients in a state of eutonia has significantly increased, and the number of patients with increased sympathetic tone has decreased. The patients who received osteopathic correction had a statistically significantly lower RSBI index and higher NIF values than those who did not receive the correction (p<0,05). The actual time of the patients transfer to a profile department was also statistically significantly shorter in patients who received osteopathic correction (p<0,05).Conclusion. The obtained results make it possible to recommend the inclusion of osteopathic correction in the complex of measures for the preoperative preparation of patients planned for extended abdominal operations.