MEASURES TO PREVENT COMPLICATIONS IN THORACIC SURGERY. REVIEW.
Introduction. There are now many efforts, particularly in the perioperative period, to improve the quality of surgical care based on scientific findings, medical error reviews, and surgical outcome tracking measures. Experience in reducing the risk of complications is essential to improve surgical outcomes. Today, WHO's priority is preventive medicine, and it is necessary to identify and implement factors that can be influenced.
Aim: to study preventive measures used in thoracic surgery in the perioperative period to reduce the risk of complications.
Materials and methods. Search strategy. Open access articles were searched using the following databases of scientific publications and specialized search engines in depth over the past 5 years: PubMed, Mendeley, Scopus, Web of Science, Google Scholar. Inclusion criteria: Publications of level of evidence A, B: meta-analyses, systematic reviews, cohort and cross-sectional studies. Exclusion criteria: expert opinion in the form of short messages, advertising articles. The search yielded 91 publications, of which 64 met the inclusion criteria.
Results. Quite a few studies of treatment outcomes in abdominal surgery have focused on nutrition in terms of prognostic treatment outcomes; more research in this area is needed for thoracic surgery, both preoperative nutrition and dietary therapy after surgery. It is necessary to develop preoperative training regimens for elective chest surgery.
Successful post-operative rehabilitation is developed individually for the patient. This way you can reduce the risk of possible complications, the length of hospital stay and speed up the recovery period.
Conclusion. At the moment, there are no high-level evidence-based studies on preoperative preparation strategies or optimal rehabilitation measures after operations on the chest organs. There is also no scientific basis for some physiotherapeutic interventions and diet therapy before and after surgery. Research in this area is extremely important due to the fact that in this branch of surgery complications of the postoperative period occur much more often than intraoperative complications, which have pathophysiological reasons specific to the chest organs and complicate the rehabilitation process.
Keywords: thoracic surgery, prevention of complications, perioperative preparation, pulmonary rehabilitation, breathing exercises.
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Zhanbyrbaev S.Zh., Auyenov M.A., Abdrakhmanov S.T., Dzhumabekov A.T., Kulzhanov M.K., Masalov A.E., Baytoreev M.S., Kashtaev R.E. Measures to prevent complications in thoracic surgery. Review // Nauka i Zdravookhranenie [Science & Healthcare]. 2024. Vol.26 (3), pp. 194-202. doi 10.34689/SH.2024.26.3.022Related publications:
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