ANALYSIS OF THE QUALITY OF LIFE OF PATIENTS AFTER SURGICAL OPERATIONS IN TERMS OF THE RISK OF DEVELOPING ADHESIVE INTESTINAL OBSTRUCTION
Abstract
Numerous experimental, clinical and laboratory studies have been devoted to the prevention of postoperative adhesions. Taking into account the etiological factors and mechanisms of formation of postoperative adhesions, a wide variety of methods have been proposed to prevent them. We analyzed the long-term results of surgical interventions on abdominal organs in 317 patients who were followed up to 18 months. The main group consisted of 101 patients in whom the drug Hemoben was used intraoperatively to prevent adhesions. The comparison group included 216 patients who underwent interventions without the use of any anti-adhesive agents. In the long-term period (from 3 to 18 months) after surgery, 116 patients of the comparison group and 64 patients of the main group had their quality of life assessed using the GIQLI questionnaire (Gastrointestinal Quality of Life Index) specially designed for such a cohort of patients. The study of the subjective factor of assessing anti-adhesive eff ectiveness based on a comparative analysis of the quality of life level according to the GIQLI questionnaire showed a higher value of this indicator in the main group for all major domains, with a total score of 103.8±9.8 versus 92.6±10.8 points (t=7.12; p <0.05) (the indicator in the group of healthy individuals was 123.6±5.1 points).
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