Abstract
Aim. Evaluation of different methods of surgical treatment of patients with general purulent peritonitis, and the rationale for choosing the optimal method of surgery. Materials and methods. Experience of surgical treatment of patients with general purulent peritonitis which required relaparotomy is summarized. A number of such patients was 504 (37,4%) of 1347 patients who undergone treatment of general peritonitis in the city clinical hospital of emergency medical care of Krasnodar from 2005 to 2014. Results. On the basis of experience in the treatment of 504 patients with general purulent peritonitis of various etiologies the use of programmed repeated sanitation of the abdominal cavity is justified. All patients were divided into two groups – the control group in which relaparotomy on demand was performed and the main group in which patients undergone programmed relaparotomy. In the control group which consisted of 189 patients 61 patient (31.7%) died, in the main group which included 315 patients 25 patients (7.9 %) died (p<0.01). Conclusion. Programmed relaparotomy is the stage of radical surgical treatment in the complex treatment and preventive measures in diffuse general peritonitis.
Highlights
On the basis of experience in the treatment of 504 patients with general purulent peritonitis of various etiologies the use of programmed repeated sanitation of the abdominal cavity is justified
All patients were divided into two groups – the control group in which relaparotomy "on demand" was performed and the main group in which patients undergone programmed relaparotomy
In the control group which consisted of 189 patients 61 patient (31.7%) died, in the main group which included 315 patients 25 patients (7.9 %) died (p
Summary
Федеральное государственное бюджетное образовательное учреждение высшего образования «Кубанский государственный медицинский университет» Министерства здравоохранения Российской Федерации, ул. Оценка различных методов хирургического лечения больных с разлитым гнойным перитонитом и обоснование выбора оптимального метода оперативного пособия. Обобщен опыт хирургического лечения больных с распространенным гнойным перитонитом, которым потребовалась релапаротомия. Таких пациентов было 504 (37,4%) из 1347 больных, находящихся на лечении с разлитым перитонитом в городской клинической больнице скорой медицинской помощи г. На основании опыта лечения 504 больных с разлитым гнойным перитонитом различной этиологии обосновано применение программированных повторных санаций брюшной полости. Программированная релапаротомия является этапом радикального хирургического воздействия в комплексе лечебно-профилактических мероприятий при разлитом гнойном перитоните. For citation: Avakimyan V.A., Karipidi G.K., Avakimyan S.V., Aluhanyan O.A., Potyagajlo E.G., Marchenko N.V., Didigov M.T., Babenko E.S. Programmed laparotomy in the treatment of general purulent peritonitis.
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