FIELD: abdominal surgery, pulmonology, and immunology.
SUBSTANCE: abdominal cavity is first treated by hyperthermal perfusion with solution containing electrolytes, proteins, and dextrans at 41-42°C in solution and pressure 25-40 mm Hg, where solution is introduced at velocity 1.5-2 L/min. Exhausted solution is passed through filter sorbent and cleaned solution is reused for treatment of abdominal cavity. Exhausted solution cleaning procedure and reuse of cleaned solution is repeatedly performed during 20-30 min, whereupon abdominal cavity is subjected to treatment for 7-10 min by high-frequency insufflation with therapeutical aerosol and, 4-24 h later, above insufflation is performed for 10-15 min. In sum, patient is subjected to 2-4 sessions of combined treatment by hyperthermal perfusion and high-frequency insufflation with therapeutical aerosol and 4-8 sessions of high-frequency insufflation with therapeutical aerosol.
EFFECT: achieved cleaning of inclined sectors of peritoneum and pockets thereof, which contributes to reduction of postoperative complications.
3 ex
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Authors
Dates
2006-08-10—Published
2005-02-21—Filed