Rehabilitation of patients with peritoneal adhesive disease
https://doi.org/10.33667/2078-5631-2022-28-19-22
Abstract
Adhesive disease is a syndrome caused by the presence of adhesions in the abdominal cavity, formed due to various reasons, and characterized by frequent bouts of relative intestinal obstruction.
Purpose. Determine the complex of rehabilitation measures for adhesive disease.
Material and methods. Patients with the following forms were observed: a) with pain syndrome (84.1%); b) with periodically recurring attacks of intestinal obstruction; c) there may also be asymptomatic SB (not found in observations). All patients had the following symptoms as pain, thirst, nausea (sometimes vomiting that does not bring relief), a feeling of heaviness in the abdomen, tachycardia, discomfort, flatulence, arterial hypertension. Ultrasound of the abdominal organs and laparoscopy, MSCT of the abdominal organs and plain radiography of the abdominal cavity and electrogastroenterography were performed to detect violations of the motor function of the gastrointestinal tract.
Results and discussion. The complex of rehabilitation measures included the following rehabilitation. Outside the attack of adhesive disease (an attack of intestinal obstruction) and with adhesive dynamic obstruction, patients were treated conservatively; surgical rehabilitation was prescribed for an attack of adhesive mechanical obstruction. Conservative rehabilitation included exercise therapy, diet, folk remedies, medical correction.
About the Authors
L. N. Kostyuchenko
Moscow Clinical Scientific and Practical Centre n.a. A.S. Loginov
Russian Federation
Russian Federation
DM Sci (habil.), professor, academician of the Russian Academy of Natural Sciences, head of Dept
Moscow
O. A. Smirnova
Moscow Clinical Scientific and Practical Centre n.a. A.S. Loginov
Russian Federation
Russian Federation
junior researcher at Dept of Nutrition
Moscow
A. E. Lychkova
Moscow Clinical Scientific and Practical Centre n.a. A.S. Loginov
Russian Federation
Russian Federation
patent specialist
Moscow
T. A. Vasina
Research Institute for Emergency Medicine n.a. N.V. Sklifosovsky
Russian Federation
Russian Federation
DM Sci (habil.), professor
Moscow
M. V. Kostyuchenko
Russian National Research Medical University n.a. N.I. Pirogov
Russian Federation
Russian Federation
DM Sci (habil.), professor at Dept of Disaster Medicine
Moscow
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Review
For citations:
Kostyuchenko L.N., Smirnova O.A., Lychkova A.E., Vasina T.A., Kostyuchenko M.V. Rehabilitation of patients with peritoneal adhesive disease. Medical alphabet. 2022;1(28):19-22. (In Russ.) https://doi.org/10.33667/2078-5631-2022-28-19-22
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