CURRENT APPROACH TO MECHANICAL JAUNDICE MANAGEMENT

Aim. To improve management of obstructive jaundice of various origin by improving the method of detoxification and application of the new device to return bile into the digestive tract.

Materials and Methods. Treatment of 150 patients was analyzed. Two groups of patients with obstructive jaundice were compared. Control group consisted of traditional methods of detoxification and biliary drainage via laparotomy or minimally invasive techniques. Combined treatment including infusion therapy whose volume was calculated depending on body weight, blood biochemical parameters and level of bilirubinemia was applied in the second group. Biliary decompression was performed using minimally invasive methods and developed in the clinic new device to return bile into the digestive tract.

Results. Improved outcomes in the main group were achieved due to introduction of new set of therapeutic activities carried out at all stages of treatment. Incidence of postoperative complications was 11.8% and 7.6% in control and main groups respectively. Average hospital-stay was 16 and 11 days in both groups respectively.

Conclusion. The results confirm high efficiency of improved method of detoxification and new device to return bile into the digestive tract, that allows to recommend them for wider application in complex treatment of patients with obstructive jaundice.

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