Strategies for the respiratory disorders prophylaxis after large ventral hernias plastic treatment
DOI:
https://doi.org/10.14739/2310-1210.2015.6.57016Keywords:
Postoperative Complications, Continuous Positive Airway Pressure, Ventral Hernia, Respiratory Tract DiseasesAbstract
Perioperative pulmonary atelectasis (PA) is closely associated with the development of postoperative respiratory disorders (PRD) and takes first place in the structure of the general postoperative complications.
Aim. To assess role of intraoperative recruitment (PM) and postoperative continuous positive airway pressure (CPAP) in the elimination and prevention of LA, PRD after plastic ventral hernias.
Methods and results. Dynamics of the gradient of the partial pressure of carbon dioxide in the arterial blood and end-expiratory (P(a-et)CO2), the frequency and severity of the PRD, the duration of hospitalization were studied in 103 patients . Postoperative CPAP and its combination with intraoperative recruitment of reduces abnormal increase in the P(a-et)CO2gradient, frequency and severity of PRD, duration of hospitalization.
Conclusion. Postoperative CPAP and its combination with intraoperative RM effectively prevents development of PRD after large ventral hernia plastic treatment.
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