IMPROVEMENT OF THE TECHNOLOGY OF LASER INFLUENCE IN THE PREVENTION OF ANASTOMOSITS AND INSUFFICIENCY OF SUTURES OF COLONIC ANASTOMOSIS

The method of percutaneous low-energy infrared laser exposure proposed by the authors is simple to perform, which eliminates the need for intra-intestinal use of fiber optics. Sequential irradiation at the projected points makes it possible to achieve the required therapeutic dose in the area of the colonic anastomosis, providing an increase in local microcirculation and tissue repair.\n\nThe authors, as a result of the inclusion of low-energy laser therapy in the complex of postoperative management of patients with resection interventions on the colon, made it possible to accelerate the rehabilitation processes, reduce the time for regression of inflammation markers, restore active peristalsis and also provided a decrease in the proportion of uncomplicated course. Stimulation of local microcirculation and reparative processes through the use of laser therapy sessions made it possible to reduce the incidence of specific anastomotic complications from 19.1% to 3.2%, reduce the mortality rate from 8.5% to 3.2 %, as well as the duration of the hospital postoperative period from 11.5±0.4 to 8.8±0.4 days (p<0.001).

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