Ultrasound method for assessing the severity of local wound complications after surgical interventions on the abdominal organs
- Authors: Izmailov A.G.1, Dobrokvashin S.V.1, Izmailov S.G2, Leontiev A.E.2, Volkov D.E.1, Lukoyanychev E.E.2, Kolchina O.S.2, Romanov M.D.3, Vadyaeva T.V.3, Firsova A.O.1
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Affiliations:
- Kazan State Medical University
- City Clinical Hospital No. 7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova
- National Research Mordovian State University named after N.P. Ogarev
- Issue: Vol 103, No 4 (2022)
- Pages: 680-687
- Section: Clinical experiences
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/65274
- DOI: https://doi.org/10.17816/KMJ2022-680
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Abstract
Background. The ultrasound method of examination is often used to detect liquid formations of a postoperative wound. For this reason, the search for new criteria for assessing the course of the wound process is currently relevant.
Aim. To study the possibility of using the ultrasound method of research to determine the severity of postoperative wound complications according to the Clavien–Dindo classification and further optimal tactics, diagnosis and treatment.
Material and methods. 255 patients after surgery for various urgent diseases of the abdominal organs, as well as patients with elective surgeries were examined. All patients underwent complex clinical, laboratory and instrumental studies. Continuous values that do not have a normal distribution were processed using non-parametric methods — the values were presented in the format Me [Q1; Q3], the difference in unrelated groups was assessed by the Mann–Whitney U test, and in related groups, by the Wilcoxon test.
Results. The postoperative period in 58 (22.7%) of 255 patients was complicated by postoperative wound complications, which had I, II, III severity according to the Clavien–Dindo classification. On the 5th day of ultrasound examination of the surgical site with the III degree of severity of postoperative wound complications, there was a statistically significant increase in the echogenicity width of tissues in the area of the wound defect compared with the I–II severity of complications.
Conclusion. The ultrasound method of research allows to evaluate the effectiveness of reparative processes in damaged tissues and the development of complications, as well as to determine the severity of their course in the postoperative period for planning further surgical tactics.
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About the authors
Alexander G. Izmailov
Kazan State Medical University
Author for correspondence.
Email: izmailov_alex@mail.ru
ORCID iD: 0000-0001-9559-550X
M.D., Cand. Sci. (Med.), Assoc. Prof., Depart. of General Surgery
Russian Federation, Kazan, RussiaSergey V. Dobrokvashin
Kazan State Medical University
Email: gsurgery1@yandex.ru
ORCID iD: 0000-0002-9817-9816
M.D., D. Sci. (Med.), Prof., Head of Depart., Depart. General Surgery
Russian Federation, Kazan, RussiaSergey G Izmailov
City Clinical Hospital No. 7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova
Email: izi28082009@yandex.ru
ORCID iD: 0000-0001-7998-9277
M.D., D. Sci. (Med.), Prof.
Russian Federation, Nizhny Novgorod, RussiaAndrey E. Leontiev
City Clinical Hospital No. 7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova
Email: leontjeff@mail.ru
ORCID iD: 0000-0001-6510-3391
M.D., Cand. Sci. (Med.), Assoc. Prof.
Russian Federation, Nizhny Novgorod, RussiaDmitry E. Volkov
Kazan State Medical University
Email: gsurgery1@yandex.ru
ORCID iD: 0000-0002-7253-3370
M.D., Cand. Sci. (Med.), Assoc. Prof., Depart. of General Surgery
Russian Federation, Kazan, RussiaEgor E. Lukoyanychev
City Clinical Hospital No. 7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova
Email: egor-lukoyanychev@yandex.ru
ORCID iD: 0000-0001-6392-2692
M.D., Cand. Sci. (Med.), Assoc. Prof.
Russian Federation, Nizhny Novgorod, RussiaOksana S. Kolchina
City Clinical Hospital No. 7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova
Email: kolchinaoksana190493@mail.ru
ORCID iD: 0000-0002-9448-8590
M.D.
Russian Federation, Nizhny Novgorod, RussiaMikhail D. Romanov
National Research Mordovian State University named after N.P. Ogarev
Email: MDRomanov@yandex.ru
ORCID iD: 0000-0002-7348-1242
M.D., D. Sci. (Med.), Prof., Depart. of Hospital Surgery with courses in Traumatology and Orthopedics, Eye Diseases
Russian Federation, Saransk, RussiaTatiana V. Vadyaeva
National Research Mordovian State University named after N.P. Ogarev
Email: vadyaeva2011@yandex.ru
M.D., Clin. Resident, Depart. of outpatient Therapy
Russian Federation, Saransk, RussiaAnna O. Firsova
Kazan State Medical University
Email: Hanna.shon@mail.ru
ORCID iD: 0000-0002-2026-7269
student
Russian Federation, Kazan, RussiaReferences
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