ANATOMICAL AND EXPERIMENTAL REASONING OF LIVER RESECTION USING HYDRODISSECTION TECHNIQUE

Background. Due to an increasing number of liver surgery, the problems using secure hemostatic techniques during its resection are still relevant and require further study. Objective. To determine optimal technique local hemostasis based on a comparative morphological assessment wound. Material methods. The study was performed 30 outbred white rats with examination biological material 7th 21st days. Results. It has been established that cryohemostasis, electrocoagulation application methods adequate ways stop blood loss from wound resection. analysis histological image micro-preparations showed inflammatory response is present in all experiment series, regardless techniques. disadvantage TachoComb sponge need for fixation surface, collagen – long period resorption, damaging effect tissue marked inflammation. Conclusions. Local cryohemostasis appeared be most effective bleeding control technique. Its advantages following: it stops much faster than techniques; characterized by minimal abdominal adhesions; less pronounced parenchyma; facilitates scar formation likely cause changes zone.