rehabРеабилитологияJournal of Medical Rehabilitation2949-58732949-5881IRBIS Publishing House (IRBIS LLC)10.17749/2949-5873/rehabil.2026.64rehab-171Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESРанние осложнения после обширных хирургических вмешательств при злокачественных новообразованиях органов малого таза: возможности профилактики и нехирургической коррекцииEarly postoperative complications after extensive surgery for pelvic malignant neoplasms: prevention and nonsurgical correctionhttps://orcid.org/0000-0001-7919-9750КоротковВ. А.KorotkovV. А.

Коротков Валерий Александрович , к.м.н. 

ул. Королева, д. 4, Калужская обл., Обнинск 249036

Valery A. Korotkov , PhD

https://orcid.org/0000-0002-5027-5331МкртчянЛ. С.MkrtchianL. S.

Мкртчян Лиана Сирекановна , д.м.н., проф.

WoS ResearcherID: JBJ-0493-2023. Scopus Author ID: 6601999343. 

ул. Королева, д. 4, Калужская обл., Обнинск 249036

Liana S. Mkrtchian , Dr. Sci. Med., Prof.

https://orcid.org/0009-0007-3301-1418КулешовИ. Н.KuleshovI. N.

Кулешов Иван Николаевич

ул. Королева, д. 4, Калужская обл., Обнинск 249036

Ivan N. Kuleshov

https://orcid.org/0000-0001-8202-8055КасымовМ. Р.KasymovМ. R.

Касымов Максим Ринадович

ул. Королева, д. 4, Калужская обл., Обнинск 249036

Maxim R. Kasymov

https://orcid.org/0009-0009-5700-329XВоличеваЕ. А.VolichevaЕ. А.

Воличева Елена Алексеевна

ул. Королева, д. 4, Калужская обл., Обнинск 249036

Elena A. Volicheva

ГригорянГ. Х.GrigorianG. Kh.

Григорян Галия Хабибулловна

ул. Королева, д. 4, Калужская обл., Обнинск 249036

Galia Kh. Grigorian

ХайловаЖ. В.KhailovaZh. V.

Хайлова Жанна Владимировна, к.м.н

ул. Королева, д. 4, Калужская обл., Обнинск 249036

Zhanna V. Khailova , PhD

https://orcid.org/0000-0001-5961-2958НевольскихА. А.NevolskikhА. А.

Невольских Алексей Алексеевич , д.м.н.

ул. Королева, д. 4, Калужская обл., Обнинск 249036

Aleksey A. Nevolskikh , Dr. Sci. Med.

https://orcid.org/0000-0001-7689-6032ИвановС. А.IvanovS. А.

Иванов Сергей Анатольевич , д.м.н., проф., чл.-корр. РАН

ул. Королева, д. 4, Калужская обл., Обнинск 249036

 Sergei A. Ivanov , Dr. Sci. Med., Prof., Corr. Member of RAS

https://orcid.org/0000-0001-8784-8415КапринА. Д.KaprinА. D.

Каприн Андрей Дмитриевич , д.м.н., проф., академик РАН, академик РАО

ул. Королева, д. 4, Калужская обл., Обнинск 249036

Andrey D. Kaprin , Dr. Sci. Med., Prof., Academician of RAS, Academician of RAE 

Медицинский радиологический научный центр им. А.Ф. Цыба филиал федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской ФедерацииРоссияTsyb Medical Radiological Research Center branch of National Medical Research Radiological CentreRussian Federation20261608202642117–132Copyright © Коротков В.А., Мкртчян Л.С., Кулешов И.Н., Касымов М.Р., Воличева Е.А., Григорян Г.Х., Хайлова Ж.В., Невольских А.А., Иванов С.А., Каприн А.Д., 20262026Коротков В.А., Мкртчян Л.С., Кулешов И.Н., Касымов М.Р., Воличева Е.А., Григорян Г.Х., Хайлова Ж.В., Невольских А.А., Иванов С.А., Каприн А.Д.Korotkov V.А., Mkrtchian L.S., Kuleshov I.N., Kasymov М.R., Volicheva Е.А., Grigorian G.K., Khailova Z.V., Nevolskikh А.А., Ivanov S.А., Kaprin А.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rehabilitology.com/jour/article/view/171

На сегодняшний день хирурги во всем мире все чаще выполняют сложные длительные оперативные вмешательства с большим объемом удаляемых тканей и значительным изменением внутренней анатомии пациента. Современный уровень развития анестезиологического пособия позволяет успешно проводить подобные операции с низкой вероятностью тяжелых интраоперационных осложнений. Однако в послеоперационном периоде по-прежнему остается риск возникновения таких осложнений, как серомы, нарушения моторики желудочно-кишечного тракта, нагноение и расхождение послеоперационной раны и т.д. Не являясь жизнеугрожающими, они, как правило, могут увеличить срок пребывания пациента в отделении или стать в дальнейшем причиной возникновения других, более тяжелых осложнений. Крайне важна возможность максимально быстро купировать подобные явления, а в оптимальном варианте предупредить их возникновение путем введения в клиническую практику мер профилактики.

Contemporary surgical procedures are increasingly becoming more complicated and extensive, often requiring the removal of large volumes of tissue and resulting in significant changes to the patient's internal anatomy. Due to the advancements in anesthesia care, these operations can be performed successfully with a low risk of severe intraoperative complications. However, the postoperative period can pose some risks, including seromas, gastrointestinal motility disorders, wound suppuration and dehiscence. While not life-threatening, they can increase hospital stays and lead to more severe complications. Therefore, such events should be stopped immediately, and, preferably, prevented by introducing prophylactic measures into clinical practice.

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