EXPERT SYSTEM FORECAST OF OPERATIONAL RISK AS EFFECTIVE IMPLEMENTATION OF SIMULTANEOUS OPERATIONS IN COLON AND ABDOMINAL SURGICAL PATHOLOGY
Purpose: to clarify evidence of conducting pre- and post-operative period and prove the implementation effectiveness of the SOV in patients with various colon (ZTK) diseases and surgical pathology of abdominal cavity (OBP) with the help of clinically developed expert operational risk forecasting system (ESPOR) Materials and methods: the surgical treatment of 986 patients with pathology of the colon was provided on the basis of surgical department №2 (DOKTMO ) in DONNMU during 2012 - 2015. According to the results of treatment there were 127 ( 12.8 % ) patients with the ZTK, who had concomitant abdominal pathology (OBP) and SOB was performed. There were 79 (62.2 %) of women and 48 ( 37.8 %) of men. The age of patients ranged from 32 to 87 years. 51 ( 40.1 % ) of patients with colon non-tumor pathology and 76 ( 59.9 % ) of patients with tumour pathology had being operated on. A combination of several transactions ( 2 or more) was produced in 21 ( 16.5 %) of patients. Results: The postoperative period in patients with the SOV is not significantly different from the standard interferences on the colon. It should be noted that there are 3 cases of suppurated wounds seroma, 2 cases of pneumonia and only one case with the abdominal cavity infiltration among the postoperative complications, which amounted 3.2% of the patients who sustained the SOV. Conclusion: The EORFS provides a complete and effective correction of comorbidities during preoperative period, intra - and postoperative complication prevention, and conducting effective targeted intensive therapy in particular category of patients that allowed to decrease complications in the stored one-stage surgical radicalism in all cases.