ABSTRACT
The results of treatment of 33 patients, suffering diffuse peritonitis, with postoperatively applied tactics of the programmed surgical sanation of abdominal cavity were analyzed. Indications for relaparotomy were established, based on the estimation scale for the enteral insufficiency severity. The patients death and the complications causes were analyzed, depending on terms and rates of relaparotomy conduction.
Subject(s)
Abdominal Injuries/therapy , Appendicitis/therapy , Cholecystitis, Acute/therapy , Duodenal Ulcer/therapy , Intestinal Obstruction/therapy , Peritonitis/therapy , Reoperation , Abdominal Cavity/pathology , Abdominal Cavity/surgery , Abdominal Injuries/complications , Abdominal Injuries/mortality , Abdominal Injuries/surgery , Adolescent , Adult , Aged , Appendicitis/complications , Appendicitis/mortality , Appendicitis/surgery , Cholecystitis, Acute/complications , Cholecystitis, Acute/mortality , Cholecystitis, Acute/surgery , Duodenal Ulcer/complications , Duodenal Ulcer/mortality , Duodenal Ulcer/surgery , Female , Humans , Intestinal Obstruction/complications , Intestinal Obstruction/mortality , Intestinal Obstruction/surgery , Male , Middle Aged , Peritonitis/etiology , Peritonitis/mortality , Peritonitis/surgery , Retrospective Studies , Suction , Survival Analysis , Time FactorsABSTRACT
The optimal time to fulfill the second (plastic) phase delayed early radical surgery in patients over the complicated forms of acute paraproctitis. On the 7th day after the opening of an abscess in a smear from the surface layer of the wound inflammatory regenerative cytogram type was observed in 66.8% of patients, early regenerative type--at 33.2%. On the 10th day was observed regenerative cytogram type. The dynamics of the concentration of cytokines in wound fluid on the 7th day showed a favorable course of wound healing process, without increasing the levels of proinflammatory cytokines, which allowed to perform the second stage of early delayed surgery in 7-10 days.
