DIAGNOSTICS OF COMBINED SURGICAL PATHOLOGY AS A PREDICTOR OF LEVEL OF SIMULTANEOUS OPERATIONS
About the author:
Zavgorodniy S. M., Kubrak M. A., Danilyk M. B., Rylov A. I.
CLINICAL AND EXPERIMENTAL MEDICINE
Type of article:
At 20.0 - 30.0% of patients hospitalized in a surgical hospital, there are 2 - 3 concomitant diseases that can be eliminated in an operative way. However, in practice, the percentage of performing simultaneous surgical interventions is only 5.5%. The main reason is the insufficient level of detection of concomitant surgical pathology in this category of patients. The purpose of the study. To improve the diagnosis of combined surgical pathology in patients with endocrine system diseases and to increase the percentage of performing simultaneous surgical interventions by applying an algorithm of examination of this category of patients. Object and methods. According to our algorithm for the diagnosis of combined surgical pathology, 318 patients were enrolled for routine surgery with endocrine organs at the age of 53.3 ± 9.6 years. Results of the study. At 71 (22.3%) patients we found from 1 to 3 concomitant surgical diseases. In the structure of pathology, a combination of thyroid gland pathology and gallstone disease / polyposis of the gallbladder was most often encountered - 35 (49.3%). In 13 (18.3%) the pathology of the parathyroid and thyroid gland was revealed. In 7 (9.9%) - diseases of the thyroid gland and pelvic organs and 5 (7.0%) - adrenal pathology in combination with gallstone disease was revealed. In 3 (3.2%) patients with thyroid disease, concomitant diseases of soft tissues were diagnosed. At 8 (11,3%) - a combination of other pathology. 64 (90.1%) patients underwent simultaneous surgical intervention. In 7 (10.9%) patients in the postoperative period there was transient hypoparathyroidiConclusions 1. The level of performed simultaneous surgical interventions directly depends on the detectability of the combined surgical diseases during the examination of the patient. 2. Application of the diagnostic algorithm developed by us makes it possible to increase the detection rate of the combined pathology to 22.3%. 3. An increase in the level of diagnosis of the combined pathology, by using this algorithm, allowed simultaneous simultaneous surgical intervention in 20.1% of patients without an increase in the level of postoperative complications and lethality
combined pathology, endocrine diseases, simultaneous operations, diagnostics
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Publication of the article:
«Bulletin of problems biology and medicine» Issue 2 Part 1 (150), 2019 year, 120-125 pages, index UDK 616-089-07-089.8