Danyliuk M. B., Zavhorodniy C. M., Kubrak M. A., Boyko K. A., Rylov A. I.

INTRAOPERATIVE VAGINA BLOCKAGE OF RECTUS ABDOMINAL MUSCLES AS AN ALTERNATIVE TO TAR – BLOCK IN EMERGENCY ABDOMINAL SURGERY IN OLD AND ELDERLY PATIENTS

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About the author:

Danyliuk M. B., Zavhorodniy C. M., Kubrak M. A., Boyko K. A., Rylov A. I.

Heading:

CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

Annotation:

The article is devoted to the topical issue of combined regional anaesthesia in the complex treatment of elderly and senile patients in emergency abdominal surgery. The study aims to evaluate the effectiveness of the intraoperative block of the rectus abdominis muscles compared to the TAR block during upper-middle laparotomy. In total, three groups of patients were included in the study, comparable in age and underlying surgical pathology. The comparison group included patients who underwent traditional methods of conservative anaesthesia in the postoperative period. The main group, which was divided into two subgroups, included the TAP-block and the group with a block of the vagina of the rectus abdominis muscles during surgery. Based on the evaluation of the results of the work, we determined that the method of multimodal analgesia using TAR block and non-steroidal anti-inflammatory drugs significantly reduces the level of pain in elderly and senile patients after emergency upper-middle laparotomy. The method of intraoperative blockade of the rectus abdominis vagina did not show a significant difference with TAR block in 6 hours, p=0.8934, U=3713 and 12 hours, p=0.4523, U=2613 after surgery, which reliably confirms its effectiveness in the early postoperative period. The use of multimodal analgesia reduced the incidence of non-surgical postoperative complications in the main group by 20.9% compared with 40.0% in the comparison group, p=0.0374, U=1174.0.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 4, 175, 327-335 pages, index UDC 616.746.1-053.9-089.5-031.83-089.163/.168

DOI:

10.29254/2077-4214-2024-4-175-327-335