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[Hyperbaric oxygenation in the comprehensive treatment of children who had operations on the abdominal organs]
Insights
Hyperbaric oxygenation (HBO) can be a beneficial addition to postoperative care for children undergoing abdominal surgery. Early HBO application, even with intestinal anastomosis, may improve outcomes for functional ileus.
Area of Science:
- Pediatric Surgery
- Hyperbaric Medicine
- Gastrointestinal Surgery
Context:
- Postoperative care in pediatric abdominal surgery is complex.
- Functional ileus is a common complication following abdominal operations in children.
- Hyperbaric oxygenation (HBO) is an adjunctive therapy with potential benefits.
Purpose:
- To evaluate the efficacy and application of hyperbaric oxygenation (HBO) as part of postoperative management in children.
- To define the optimal timing and regimen for HBO in pediatric surgical patients.
- To present treatment strategies using HBO for postoperative functional ileus.
Summary:
- This study involved 98 children (2.5 months to 13 years) who received hyperbaric oxygenation (HBO) post-abdominal surgery.
- HBO regimens were individualized based on surgical procedure and disease severity.
- Early HBO administration (2-4 hours post-operation), including in patients with intestinal anastomosis, was deemed beneficial.
Impact:
- Highlights the potential of early hyperbaric oxygenation (HBO) in improving recovery after pediatric abdominal surgery.
- Provides a framework for the use of HBO in managing postoperative functional ileus in pediatric patients.
- Suggests that HBO can be safely integrated into multimodal postoperative care strategies for children.
Abstract:
After the operation on the abdominal organs in 98 children ranging in age from 2.5 mos to 13 yrs, hyperbaric oxygenation (HBO) was included into the complex of therapeutic measures. Regime of HBO and number of seanses were chosen depending on a type of operative intervention and severity of the course of the main disease. The authors consider expedient the early (2-4 h after the operation) use of HBO, including the patients who had the intestinal anastomosis placed. The tactics of treatment with the use of HBO of postoperative functional ileus is presented.
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