grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-4625Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2024-183-2-76-81grekov-2411Research ArticleОБЗОРЫREVIEWSПослеоперационные осложнения: дефиниция и классификацияPostoperative complications: definition and classificationhttps://orcid.org/0000-0002-6745-6446ЛаричевА. Б.LarichevA. B.

Ларичев Андрей Борисович, доктор медицинских наук, профессор, зав. кафедрой общей хирургии

150000, г. Ярославль, ул. Революционная, д. 5

Larichev Andrey B., Dr. of Sci. (Med.), Professor, Head of the Department of General Surgery

5, Revolutionary str., Yaroslavl, 150000

 

 

larich-ab@mail.ruФедеральное государственное бюджетное образовательное учреждение высшего образования «Ярославский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияYaroslavl State Medical UniversityRussian Federation20240304202418327681Copyright © Ларичев А.Б., 20242024Ларичев А.Б.Larichev A.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/2411

Послеоперационное (хирургическое) осложнение – это новое патологическое состояние, обусловленное оперативным вмешательством, возникающее во время его выполнения и в течение 30 суток (как правило) спустя, имеющее клиническую манифестацию и требующее коррекции лечебной тактики. Основываясь на подобном дефиниционном подходе, представлена классификация связанных с операцией негативных событий с учетом вовлеченности анатомо-функциональных структур организма (локальные, регионарные и системные осложнения). Другой ранжируемый признак – синдромная характеристика проявлений – предполагает упорядочение проблем в зависимости от ведущей причины их формирования центрального или периферического генеза, включая инфекционно-воспалительную природу, нарушения в системе гемостаза и иные – вариативные (разные) ситуации. Такой подход позволяет планировать и реализовывать на практике меры профилактики и лечения осложнений. Логика же патофизиологического понимания их симптоматики облегчает предвидение и раннюю диагностику периоперационных происшествий.

The concept of «postoperative (surgical) complication» implies a new pathological condition caused by surgical intervention, arising during its implementation and within 30 days later, having a clinical manifestation and requiring correction of treatment tactics. Based on this definitional approach, the classification of negative events associated with the operation, taking into account the involvement of the anatomical and functional structures of the body (local, regional and systemic) is presented. Another ranked feature is the syndromic characteristic of manifestations, which involves ordering problems depending on the leading cause of their formation of central or peripheral origin, including infectious and inflammatory nature, disorders in the hemostatic system and other variable (different) situations. This approach allows to plan and implement measures for the prevention and treatment of complications in practice. The logic of the pathophysiological understanding of their symptoms facilitates the prediction and early diagnosis of perioperative incidents.

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The authors declare that there are no conflicts of interest present.