RESULTS OF MINIMALLY INVASIVE TREATMENT OF LIMITED FLUID ACCUMULATIONS IN THE ABDOMINAL CAVITY

Abstract

One of the most frequent complications after abdominal surgery is limited fluid accumulation. The purpose of the study: to develop a method of minimally invasive treatment of limited fluid accumulations in the abdominal cavity, which helps to accelerate its healing processes. Material and methods of research. The puncture-draining method of treating limited fluid accumulations is carried out by introducing an antiseptic through a drainage tube, for which a puncture of the fluid accumulation is first performed under the control of ultrasound. Research results. The results of the study showed that the proportion of patients with a single puncture that ensured recovery was only 61.4% (35 patients) in the comparison group, while the improved method allowed to increase these values to 88.0% (in 44 out of 50 patients in the main group). Conclusion. The use of the proposed method of minimally invasive treatment of limited fluid accumulations in the abdominal cavity allowed to increase the proportion of good results compared to the traditional method from 68.4% to 92.0%, while the frequency of unsatisfactory results requiring open surgical treatment decreased from 12.3% to 2.0% (χ2=7,771; df=2; p=0,021).