Experience of treatment acute iliopsoitis in the conditions of urgent multi-profile surgical hospital

Abstract

Between 2010 and 2019 17 patients in the age from 25 to 64 years with acute iliopsoitis were observed. It has been established that the most common cause of iliopsoitis is suppurative processes of the skin and subcutaneous fat ‒ 70,6 %, less often, as a result of osteomyelitis of the lumbar vertebrae and sacrum, tuberculosis spondylitis, pus leakage from the abdominal cavity and pelvis ‒ 29,4 %. To verify the diagnosis of acute iliopsoitis, it is necessary to use hardware diagnostic methods, of which the most informative is the MRI method (sensitivity up to 100%). With timely diagnosis of the disease, successful conservative treatment is possible, and if purulent complications develop or are detected, the operations of choice remain «open» drainage operations of the N.I. Pirogov, Crompton-Pirogov, Israel. With an adequately planned treatment strategy, a reduction in the number of postoperative complications and the mortality rate can possibly be achieved as 6,7 % and 5,9 %, respectively. More than 94% of patients may have a complete clinical and functional recovery.