КОМПЛЕКСНЫЙ ПОДХОД К ПРОФИЛАКТИКЕ СПАЙКООБРАЗОВАНИЯ БРЮШНОЙ ПОЛОСТИ ПРИ РАСПРОСТРАНЕННОМ ПЕРИТОНИТЕ (ретроспективное исследование)

Abstract

The aim of the study was to evaluate the effectiveness of complex treatment of peritonitis, including laparoscopic interventions and physiotherapeutic methods, in the prevention of adhesive disease of the abdominal cavity.Methods: The treatment of 120 patients with peritonitis was analyzed. The main group consisted of 50 patients who underwent laparoscopic (closed) abdominal sanitation with the irrigation and aspiration apparatus, followed by low-frequency ultrasound treatment of the abdominal cavity with Mesogel. The control group (n = 70) included patients who used an open method for treating diffuse peritonitis-programmed relaparotomy. Patients were monitored blood levels, endogenous intoxication, microflora composition.results: application of the proposed combined method of treatment of patients with peritonitis leads to normalize the parameters of cardiac activity (pulse), respira- tory organs - the rate of respiration and temperature earlier in comparison with the another group. Evaluation of the dynamics of the main indicators of the generala e-mail: eriken@yandex.rub e-mail: vap.61@yandex.ruc e-mail: nicolai.okunev@yandex.rublood test showed, that the number of leukocytes in the main group quickly comes to normal values. The results of microbiological analysis showed that in the main group the growth of microflora was not detected after the complex therapy, in the remaining patients the number of colony-forming units decreased several times, the sensitivity to antibiotics expanded. The dynamics of the indicators is a marker of therapy effectiveness, that leads to decrease severity of the patients of the main group after the treatment.Conclusion: Using the developed technique in the early postoperative period is noted a significantly better clinical and laboratory effect (more rapid correction of homeostasis disorders). Significant decrease in the formation of adhesions of the abdominal cavity was established. The results obtained make it possible to recom- mend a new method in the treatment of patients with peritonitis.