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THE ROLE OF INTRACORPORAL MIL-THERAPY IN COMPLEX SURGICAL TREATMENT OF COMPLICATED FORMS OF HYDATID DISEASE OF LIVER

 

B.A. AGAYEV, M.M. MAMEDOV, N.M. HASANOV, N.I. HUSEYNOV

Scientific Surgical Center named after M.A. Topchubashev, Baku, AZERBAIJAN

 

The purpose of the study is to improve the results of treatment of patients with complicated forms of hydatid disease of liver, by using infrared laser radiations in combination with an alternating electromagnetic field.

Materials and methods of investigation. 31 patients with complicated forms of hydatid disease of liver underwent in-patient treatment at the department of hepatic surgery in the scientific surgical center named after M.A. Topchubashev. Patients were divided into two groups: 1st - control group - 19 patients, where treatment was carried out by traditional methods. 2nd - main group - 12 patients, treatment was carried out by using the intracorporal method of application magnetic-laser inducer set in the residual cavity in the treatment of complicated forms of hydatid disease of liver in early postoperative period. Intracorporal MIL-therapy was conducted in the patients of the main group in the postoperative period. Device for magnetic-infrared laser therapy was set intraoperatively. The silicone tube with a magnetic inducer and light guide installed after the completion of the main phase of the operation - patent of the Republic of Azerbaijan I.2007. 0108. publish. On 17.05.2007 (Aghayev B.A, et al). The effector end was set in the residual cavity, and the opposite end with connectors for the connection to devices ABA (Aghayev BA.) and MILTA was withdrawn through a puncture of the abdominal wall in the right hypochondrium and fixed to the skin. Exposure to MIL-therapy - 10-14 minutes. Sessions of intracorporal MIL-therapy were performed every day beginning from the 1st postoperative day, within 8-14 days. On the 14th postoperative day after the completion of the course of intracorporal MIL-therapy for 14 days post-operative period after the last session, the silicone tube with a magnetic inducer and laser light guide was removed from the abdominal cavity.

Results of the study. Before removing the coil there was held a control ultrasonography to determine the obliteration of the residual cavity and its sizes. The reason for the removal of catheters were the following: lack of the signs of intoxication, reduction of the residual cavity by not less than 3-4cm in diameter. The control fistulography was performed in all patients, that made it possible to specify sizes cavity and airtightness around the tube. The derived purulent content was sent to bacteriological examination for antibiotic susceptibility. Patients were underwent to follow-up visit after a month, during the control usltrasonography the residual cavities were almost completely obliterated.

Conclusion: Thus, the method of intracorporal MIL-therapy is effective, safe, economical, and does not require the risky insertion of capitonnage, and irradiation of the cavity of intracorporal MIL-therapy accelerates processes of healing, obliteration of the cavity and reduces term of hospital stay.

 


Date: 2014-12-28; view: 198


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