Revisiting Etiopathogenesis of the Postoperative Paresis of the Intestine. The Use of Serotonin Adipinate in Obstetric Practice
Objective: To determine the clinical effectiveness of the use of serotonin adipinate in the complex therapy of postoperative intestinal paresis after cesarean section. Subject and methods. 28 puerperal with postoperative intestinal paresis were injected with serotonin adipate of 10.0 mg - 1 ml. Efficacy was assessed by clinical signs of normalization of motor-evacuation function of the gastrointestinal tract. The effectiveness of assessed based on the clinic factors of normalization of motor-evacuation function of gastrointestinal tract. Results. In patients post an emergency cesarean section, postoperative paresis of the intestine was 1.8 times more than after a planned cesarean section. Analysis of the data resulting from the study showed that. In six hours the administration of serotonin adipinate, 26 of 28 patients showed significant clinical improvement. Conclusion. As a part of the study it was shown that the use of serotonin adipinate in combination with non-pharmacological methods of intestinal stimulation significantly improves the patient's well-being within 1-3 hours, that indicate the advisability of including serotonin adipinate in the complex therapy with postoperative paresis of the intestine in obstetric practice.