Affiliation:
1. North Ossetian State Medical Academy of the Ministry of Health of the Russian Federation
Abstract
Summary. The possibility of developing effective measures for the prevention and effective treatment of acute postoperative pancreatitis (APP) makes it possible to prevent the risk of developing this complication. Current research on the prevention and treatment of APP, on the one hand, is quite numerous, on the other hand, scattered, which requires systematization of the available data. The purpose of the study is to analyze the main modern trends in the treatment and prevention of postoperative pancreatitis. Material and methods: analysis of publications on the prevention and treatment of APP, found according to PRISMA recommendations, for 2015-2023. Result of the study: three main strategies in the prevention and treatment of APP were analyzed, based on assessing risk factors for the patient, improving technical methods for performing interventions in the abdominal cavity, as well as pharmacological methods. Conclusion. It is advisable to develop comprehensive measures for the prevention of postoperative pancreatitis should be based on an assessment of the risks of its development associated with the characteristics of the patient, the prophylactic use of various drugs, as well as in relation to improving the technical techniques used in abdominal surgery. Treatment of APP, in turn, should be based on daily dynamic monitoring of the condition of patients after surgical interventions and the use of minimally invasive surgical procedures, if possible, with mandatory antibiotic therapy.