Prevention of purulent and inflammatory complications of the soft tissues of the abdominal wall in patients with peritonitis

Abstract

Objective. To learn about measures to prevent purulent and inflammatory complications of the soft tissues of the abdominal wall in patients with peritonitis.
 Materials and methods. Based on the purpose of the study, 2 groups of patients were formed. The main group included 23 patients in whom a variable–height polyurethane wound dilator in combination with an application sorbent was used intraoperatively to prevent surgical wound suppuration. The control group included 27 patients who were treated with polyurethane wound dilator alone.
 Results. Suppuration of the surgical wound occurred in 2 (8.7%) patients of the main and 6 (22.2%) patients of the control group, seroma – in 1 (4.3%) and 2 (7.4%) patients, respectively, haematoma – in 1 (3.7%) patient of the control group, inflammatory infiltration – in 2 (8.7%) patients of the main and 3 (11.1%) patients of the control group.
 Conclusions. The use of a polyurethane wound dilator in combination with an application sorbent for the prevention of postoperative wound suppuration in patients with spilled and general peritonitis in the toxic and terminal stages allowed to reduce the number of purulent and inflammatory complications of the soft tissues of the abdominal wall in the main group by 2 times compared to the corresponding indicator in the control group.