Keywords
simultaneous operations
C-reactive protein
Fast-track surgery
How to Cite
Abstract
The dynamics of C-reactive protein (CRP) blood level after hemioplasty and simultaneous interventions with principles of "Fast-track surgery" in the perioperative period was studied. The dynamics of CRP blood level in 60 patients in whom the principles of "Fast-track surgery" were applied, including a thorough examination before the operation to diagnose combined abdominal pathology and clinically significant general somatic pathology; if necessary, prescribe a course of therapy for full compensation of general somatic pathology; during the operation of epidural prolonged anesthesia; choice in favor of laparoscopic technology; at the end of the operation of irrigation of the subphrenic space by local anesthetic; after surgery: early removal of drainage, opioid withdrawal with the appointment of parenteral paracetamol; in inguinal hemioplasty – prolonged local anesthesia after surgery; activation of the patient in 6-8 hours after operation; on the day of surgery – the use of chewing gum and fluid intake and from the first day – intake of low-calorie liquid food. Traditional perioperative management methods were used in 67 patients. It was found that in patients who underwent hernia plastics, there is an increase in the concentration of CRP in the postoperative period, which is one of the manifestations of the systemic inflammatory response, and especially pronounced after simultaneous operations. The use of the principles of «Fast-track surgery» in the complex of perioperative support contributes to better normalization of CRP concentration and faster elimination of the manifestations of systemic inflammatory response.
Keywords: hemioplasty, simultaneous operations, C-reactive protein, "Fast-track surgery".
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