Some aspects of surgical curation of obese patiets suffer polytrauma

Abstract

Introduction. Obesity is one of the factors that increases the risk of injury, both in everyday life and in the workplace. The aim of the study. Identify the main aspects of surgical curatorship of obese patients suffer combined body injury. Materials and methods. Clinical material was 103 patients with combined body trauma, who were treated at the surgery clinic during 2003-2018. Results. Patients with normal body weight didn’t have any peculiarities in diagnosis and treatment differ from accepted standards of the surgical management. A polytrauma «doctor team» identified some feature in obese patients. It includedan adequateanesthesia in case of absence catheterized peripheral or central vein, dosage and administration of drugs, difficult intubation andparameter’s correction ofmechanical lungs ventilation. Bronchial sanation was performed through the tracheostomy tube. We prefer enteral nutrition for better early stimulation of the stomach and intestine motility for obese patients. The pulmonary thromboembolism of the small arteries was associated with the presence of both trauma and obesity. It caused by formation of specific prothrombotic factors on the part of adipose tissue, as well as thrombocyte dysfunctions. Conclusion.The curatorship of obese patients sufferpolytrauma with has some peculiarities associated with the anatomical features of the body structure and the effect of excess fat on the course of physiological processes as a trauma complications