Unstable Hemostasis and Specific Postoperative Complications (Literature Review)
https://doi.org/10.29413/ABS.2020-5.4.14
Abstract
Perioperative bleeding occupies a leading place among all surgical complications and, despite the rapid development of surgery, remains relevant to this day. In addition to an increase in mortality, bleeding can cause the development of other postoperative complications, which lead to disability of patients and to a decrease in the quality of life in all age groups. Most perioperative bleeding are caused by technical errors. This article reviews the problem of perioperative bleeding from the point of view of impaired coagulation capabilities of the body. The main etiopathogenetic features of hemostasis during the development of this complication are considered. The analysis of postoperative complications, which were directly or indirectly caused by bleeding during or after surgery, is presented. The prevalence of these complications in various areas of surgery has been demonstrated. More detailed study of the hemostasis system and the identification of predictors of hemostasis difficulties before the surgery may cause an improvement in the results of surgical treatment and reduce the number of postoperative complications and the duration of hospital stay. Accordingly, this will lead to a decrease in the cost of treatment and an increase in patient satisfaction with the medical care. In connection with the above, there is a great interest among surgeons and anesthesiologists in preventing the development of perioperative bleeding.
About the Authors
D. V. Lebedeva
Irkutsk State Medical University
Russian Federation
Russian Federation
Darya V. Lebedeva – Postgraduate at the Department of Advanced Level Surgery
Krasnogo Vosstaniya str. 1, Irkutsk 664003
E. A. Ilyicheva
Irkutsk Scientific Centre of Surgery and Traumatology; Irkutsk Regional Clinical Hospital
Russian Federation
Russian Federation
Elena A. Ilyicheva – Dr. Sc. (Med.), Professor, Head of the Scientific Department of Clinical Surgery; Surgeon at the Thoracic Surgery Unit
Bortsov Revolyutsii str. 1, Irkutsk 664003
Yubileyniy 100, Irkutsk 664049
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Review
For citations:
Lebedeva D.V., Ilyicheva E.A. Unstable Hemostasis and Specific Postoperative Complications (Literature Review). Acta Biomedica Scientifica. 2020;5(4):98-102. (In Russ.) https://doi.org/10.29413/ABS.2020-5.4.14
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