ABSTRACT
Programmed cleansing of the abdominal cavity was performed in 54 patients in the management of postoperative generalized purulent peritonitis. Indications for stage inspection of the abdomen in different variants are discussed. The results were best in the group of patients (42 cases) treated by programmed relaparotomy and poor in patients (10 cases) in whom laparostomy had to be established. Total mortality in the analysed group was 46.3%. Polyorganic insufficiency was the main cause of death.
Subject(s)
Peritonitis/surgery , Postoperative Complications/surgery , Adolescent , Adult , Aged , Child , Female , Humans , Laparoscopy , Male , Middle Aged , Peritonitis/etiology , Peritonitis/mortality , Postoperative Complications/mortality , ReoperationSubject(s)
Gastrointestinal Hemorrhage/etiology , Intestinal Obstruction/therapy , Intestinal Perforation/complications , Intestine, Small/injuries , Intubation, Gastrointestinal/adverse effects , Acute Disease , Adolescent , Adult , Aged , Gastrointestinal Hemorrhage/prevention & control , Humans , Intestinal Perforation/prevention & control , Intubation, Gastrointestinal/methods , Middle AgedABSTRACT
The results of treatment of 28 patients with diffuse peritonitis are discussed. Besides planned relaparotomy the complex of measures included drainage of the thoracic duct followed by endolymphatic administration of antibiotics, endovascular laser irradiation of the blood, hemosorption, and immunotherapy. The authors emphasize that planned relaparotomy is necessary as a condition for successful treatment of patients with this grave disease.