COMPARATIVE EVALUATION OF POSTOPERATIVE COURSE IN PATIENTS WITH ACUTE CHOLECYSTITIS IN THE HIGHLANDS AND LOWLANDS

Abstract

The purpose of the study give a comparative assessment of the postoperative period in patients with acute cholecystitis in the highlands and lowlands. A total of 62 patients living in vysokogre (Naryn) and 154 patients living in low (Bishkek). In both groups, women predominated in comparison with men and more frequently received patients aged from 40 to 60 years. Of the 62 patients in the high mountains in 16 identified comorbidities (25.8%), while the second group of 154 operated in 72 (46.8%). All patients were operated under endotracheal anesthesia, gallbladder removal performed laparotomy access.
In assessing the postoperative period using clinical criteria (temperature normalization, disappearance of pain syndrome, normalization of white blood cell count, incidence of complications and timing of hospital treatment). The evaluation of the wound healing process used ehomorfometriyu day after the operation, through 3-6sutok.
Analysis of the results showed that the more favorable postoperative period proceeded in people living in conditions of low mountains in comparison to the highlands. The complication rate was respectively 8,4 and 16,1%, for hospital treatment in the first group 10,2 ± 0,23, and the second group of 6,4 ± 0,37 diem.