Role of local lymphatic stimulation in the prevention of early complications after stomach surgeries
Dzhumbaev, E.S.
Khirurgiia 1993(12): 47-52
1993
ISSN/ISBN: 0023-1207 PMID: 8158953 Document Number: 415767
Experiments were conducted on 120 albino rats and 16 dogs with the use of scanning and electron microscopy as well as the radionuclide method of microcirculation study to substantiate the method of regional lymphostimulation after operations on the stomach for the prevention of early postoperative complications. Some lymphagogues (lidase, heparin, procaine hydrochloride) were infused in the early postoperative period through a catheter introduced into the hepatoduodenal ligament. This zone is represented by a large group of lymph nodes receiving lymph from the stomach and the adjacent organs and the intercellular space of the hepatoduodenal ligament. The study showed that lymphostimulation improves the circulation of lymph and blood which are disturbed as the result of the operation and improves the local homeokinesis in the wall of the stomach after its resection and vagotomy. Lymphostimulation increases the resorption and transport activity of the lymphatic system and improves drainage of the edema fluid and the products of disturbed metabolism from the interstitium of the gastric mucosa. The results of using the method of regional lymphostimulation in 441 patients after various operations on the stomach for peptic ulcer showed the possibility of reducing the number of early postoperative complications, such as inadequacy of the sutures of the gastroduodeno--entero--anastomosis, anastomositis, infectious-inflammatory complications, and others.