Abstract: the analysis of the state of the motor and evacuation function of the intestine in 150 patients who had surgery for a herniated disc of the lumbar spine was carried out. Depending on the prevention and correction of functional dysfunctions of the intestine in the postoperative period, patients were divided into 2 groups. Group I included 72 patients who were not treated for the prevention of motor and evacuation dysfunctional bowel disorders. In group II in 78 patients, in the postoperative period, a program was carried out to prevent disorders of the motor and evacuation function of the intestine, including intraoperative of the anus under general anesthesia and a retroperitoneal permanent blockade of the ileocecal plexus zone. The zone of the ileocecal angle was catheterized under ultrasound control with Doppler sonography, puncturing the catheter installed retroperitoneally between the caecum dome and the bifurcation of the right common ileal artery. After the catheter operation, 80.0-100.0 ml of a 0.25% solution of novocaine was injected 4-6 times per day. All patients considered in our work gave written informed consent to participate in the study and signed a bilateral agreement on non-disclosure of personal data. A comparative analysis of the functional state of the intestine in the postoperative period showed that during the permanent blockade of the retroperitoneal nerve formations in the region of the ileocecal plexus, the amplitude and number of peristaltic waves are restored significantly faster according to phonoenterography, gas discharge and defecation (P˂0.05). At the same time, the frequency of manifestation of clinical symptoms was significantly less (P˂0.05). The obtained results testified to the effectiveness of permanent blockades in the prevention of intestinal paresis after operations on the lumbar spine and the prospects for further research in this direction.
Keywords: disc herniation, pain in the lower back, spinal-enteral reflex, ileocecal plexus blockade, phonoenterography