[Application of plasmapheresis in postoperative period in patients, suffering obturation jaundice]

Operative intervention, aiming to decompress a biliary system in the patients, suffering choledocholithiasis, durable obturation jaundice, severe hepatic insufficience, gives often poor outcomes, high lethality and high complications ratio. Obturation jaundice and hepatic insufficiency, occurring on its background, coincide with accumulation of significant quantity of water soluble and protein connected toxins in the blood. A patient state improvement, the intoxication severity reduction, objectively confirmed by bilirubin level lowering in the blood, the transaminases and alkaline phosphatase activity lowering were noted under the influence of plasmapheresis application.