ON-DEMAND RELAPAROTOMY AND PROGRAMMED SANITIZATION IN THE TREATMENT OF WIDESPREAD PERITONITIS
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Abstract
The choice of tactics for repeat surgical interventions for disseminated peritonitis remains a subject of debate. The aim of this study was to compare the effectiveness of on-demand relaparotomy and programmed debridement relaparotomies in patients with disseminated peritonitis. Clinical treatment outcomes, complication rates, and mortality were analyzed. It was found that an individualized approach using on-demand relaparotomy with dynamic clinical and laboratory monitoring reduces surgical trauma and the incidence of postoperative complications without increasing mortality.
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References
Demko, A.E. Successful treatment of a patient with high gastrointestinal fistulas against the background of tertiary peritonitis and severe abdominal sepsis / A.E. Demko, S.A. Shlyapnikov, G.I. Sinenchenko, V.I. Kulagin, I.M. Batyrshin, V.M. Luft, G.A. Pichugina, D.S. Sklizkov, Yu.S. Ostroumova, A.V. Osipov // Grekov Surgery Bulletin. - 2019. - Vol. 178, No. 2. - P. 52-55.
Diagnosis and choice of treatment methodintra-abdominal hypertension and abdominal compartment syndrome / V. M. Timerbulatov, Sh. V. Timerbulatov, R. R. Fayazov [et al.] // Bulletin of the Russian Academy of Medical Sciences. - 2019. - Vol. 74, No. 3. - P. 210-215.
Zvyagin A. A., Demidova V. S., Smirnov G. V.Biomarkers in intensive care of sepsis. / A. A. Zvyagin, V. S. Demidova, G. V. 84 Smirnov // Wounds and wound infection. Journal named after B. M. Kostyuchenok - 2019 - No. 6 (1) - P. 34 - 38.
Zemlyanoy V.P. Surgical approaches to the treatment of patients with tertiary peritonitis / V.P. Zemlyanoy, B.V. Sigua, S.V. Petrov, V.A. Ignatenko, P.A. Kotkov // Surgery News. - 2019. - No. 27 (4). - P. 453-460doi: 10.18484/2305-0047.2019.4.453.
Ivakhov, G.B. Modern approaches to surgical treatment of widespread peritonitis: dis. ... Dr. of Medicine: 3.1.9 / Ivakhov Georgy Bogdanovich. - Moscow, 2021.
Ilyinykh, A. R. Modern classifications of peritonitis / A. R. Ilyinykh, P. S.Salodkina, M. S. Chigrinova // Innovative path of development as a response to the challenges of the new time: collection of articles of the All-Russian scientific and practical conference, Orenburg, February 17, 2020. - Orenburg: Limited Liability Company "Aeterna", 2020. - P. 119-120.
Karsanov A. M. Disseminated purulent peritonitis: current issues of interpreting the severity of patients' condition and the choice of surgical tactics / A. M. Karsanov, S. S. Maskin, T. V. Derbentseva // Clinical medicine. - 2020. - No. 8. - P. 173 - 178.
Kulabukhov, V. V. Sepsis: control of the source of infection / V. V. Kulabukhov, N. A. Zubareva, P. A. Yartsev // Bulletin of Anesthesiology and Resuscitation. - 2021. - Vol. 18, No. 5. - P. 89-96.
Larichev, A.B.Videolaparoscopic technologies in staged sanitation of the abdominal cavity in widespread purulent peritonitis / A.B. Larichev, V.V. Rybachkov // Surgery. Journal named after N.I. Pirogov. - 2015. -
Lebedev N.V. Peritonitis and abdominal sepsis / N.V. Lebedev, A.E. Klimov, M.Yu. Persov // GEOTAR-Media. - Moscow. — 2024. — 164 p. ill.: DOI: 10.33029/9704-8069–4-PAS-2023-1-164
Lebedev N.V., Popov V.S., Klimov A.E.,Svanadze G.T. Prognosis of peritonitis outcome. Surgery. Journal im. N.I. Pirogov. 2021; 12: 92–98. https://doi.org/10.17116/hirurgia202112192
Lebedev N.V., Popov V.S., Klimov A.E.,Svanadze G.T. Comparative evaluation of systems for predicting the outcome of secondary peritonitis // Surgery. Journal named after N.I. Pirogov 2021, No. 2, pp. 27-31 https://doi.org/10.17116/hirurgia202102127
Leshyshin Ya. M. Application of integrated assessment scales in patients with widespread purulent peritonitis / Ya. M. Leshyshin, A. I. Baranov, K. V. Potekhin, S. A. Yaroshchuk, Yu. V. Valuyskikh // Medicine in Kuzbass. - 2020. - No. 2. - P. 20 - 27.
Leshyshin, Ya.M. Results of planned relaparotomies and laparostomies in the treatment of widespread purulent peritonitis / Ya.M. Leshyshin, I.G. Mugatasimov, A.I. Baranov, K.V. Potekhin, S.A. Yaroshchuk // Acta Biomedica Scientifica. - 2019. - Vol. 4, No. 1. - P. 107-113.