TREATMENT OF SEVERE FORMS OF GENERALIZED PERITONITIS
Abstract
Aim. To improve the results of treatment of patients with severe forms of generalized peritonitis by optimization of surgical tactics.
Materials and methods. The results of the treatment of 266 patients with severe forms of generalized peritonitis, which were divided into two groups, were analyzed. The 1st group consisted of 140 (61.9%) patients with generalized peritonitis in the stage of abdominal sepsis. The 2nd group included 86 (38.1%) patients in the stage of septic shock. Patients of both groups underwent relaparotomy (on-demand or programmed).
Results and discussion. The mortality of patient that underwent “relaparotomy on-demand” was 40.5%. For patients who underwent “programmed relaparotomy,” it was 62.5%. For patients in the group of relaparotomy on-demand with severe generalized peritonitis in a stage of the septic shock, the mortality was 69.2% versus 58.8% for patients in the group of programmed relaparotomy.
Conclusion. In the stage of abdominal sepsis, relaparotomy on demand is a method of choice. For severe patients with generalized peritonitis in the stage of septic shock, the use of a programmed relaparotomy approach with repeated abdominal sanitation is indicated.
About the Authors
A. R. Saraev
State Educational Institution “Avicenna Tajik State Medical University»
Tajikistan
Tajikistan
Saraev Alisher Rakhmatulloevich - candidate of medical sciences, docent of the department of surgical diseases No.1
734003, Republic of Tajikistan, Dushanbe, 139 Rudaki Ave.
Sh. K. Nazarov
State Educational Institution “Avicenna Tajik State Medical University»
Tajikistan
Tajikistan
Department of Surgical Diseases №1
S. G. Alizade
State Educational Institution “Avicenna Tajik State Medical University»
Tajikistan
Tajikistan
Department of Surgical Diseases №1
References
1. Vinnik Yu. S. Dinamika sistemnogo vospaleniya pri etapnom lechenii rasprostranyonnogo gnoynogo peritonita [The dynamics of systemic inflammation in the treatment of common purulent peritonitis in stages]. Vestnik eksperimentalnoy i klinicheskoy khirurgii – Bulletin of experimental and clinical surgery, 2011, No. 1 (4), pp. 40-44.
2. Galimzyanov F. V. Rezultaty khirurgicheskogo lecheniya bolnykh tretichnym peritonitom s tyazhelym abdominalnym sepsisom [The results of surgical treatment of patients with tertiary peritonitis with severe abdominal sepsis]. Vestnik uralskoy meditsinskoy akademicheskoy nauki – Bulletin of the Ural medical academic science, 2011, No. 4 (37), pp. 29-34.
3. Golbraykh V. A. Sochetannaya travma organov bryushnoy polosti: sovremennyye podkhody k standartizatsii, lechebno-diagnosticheskiye algoritmy [Combined trauma of abdominal organs: modern approaches to standardization, diagnostic and treatment algorithms]. Moskovskiy khirurgicheskiy zhurnal – Moscow Surgical Journal, 2019, No. 3 (67), pp. 68-76.
4. Daminova N. M. Etiopatogenez, klassifikatsiya, diagnostika i lecheniye posleoperatsionnogo peritonita [Etiopathogenesis, classification, diagnosis and treatment of postoperative peritonitis]. Zdravookhraneniye Tadzhikistana - Healthcare of Tajikistan, 2016, No. 4, pp. 65-74.
5. Zhidkov S. A. Prognozirovaniye neobkhodimosti povtornoy sanatsii bryushnoy polosti pri lechenii rasprostranyonnogo peritonita [Prediction of the need for repeated sanitation of the abdominal cavity in the treatment of common peritonitis]. Novosti khirurgii – News of surgery, 2010, № 2(18), pp. 50-55.
6. Kurbonov K.M. Endovideokhirurgicheskiye tekhnologii v khirurgii povrezhdeniy grudi i zhivota [Endovideo surgical technology in surgery for injuries of the chest and abdomen], Zdravookhraneniye Tadzhikistana. Healthcare of Tajikistan, - 2020. - No. 1. - S. 28-33.
7. Maskin S. S. Programmnyye i ekstrennyye relaparotomii v lechenii rasprostranennogo peritonita [Program and emergency relaparotomy in the treatment of common peritonitis]. Vestnik Volgogradskogo gosudarstvennogo meditsinskogo universiteta – Bulletin of the Volgograd State Medical University, 2012, No. 4 (44), pp. 105-107.
8. Maskin S. S. Osnovy differentsirovannogo podkhoda k lecheniyu peritonita tolstokishechnogo geneza [The basics of a differentiated approach to the treatment of colon peritonitis]. Vestnik khirurgicheskoy gastroenterologii – Bulletin of surgical gastroenterology, 2017, No. 1, pp.17-23.
9. Cherdantsev D. V. Vakuum-assistirovannaya laparostoma pri lechenii rasprostranennogo gnoynogo peritonita [Vacuum-assisted laparostomy in the treatment of common purulent peritonitis]. V mire nauchnykh otkrytiy – In the world of scientific discoveries, 2015, No. 2 (72), pp. 517–531.
10. Scriba M. F., Laing G. L., Bruce J. L., Clarke D. L. Repeat laparotomy in a developing world tertiary level surgical service. American Journal of Surgery, 2015, Vol. 210 (4), pp. 755-8.
Review
For citations:
Saraev A.R., Nazarov Sh.K., Alizade S.G. TREATMENT OF SEVERE FORMS OF GENERALIZED PERITONITIS. Health care of Tajikistan. 2020;(3):51-56. (In Russ.)
Views:
322
Email this article 