PREDICTION OF OUTCOMES AND CHOICE OF SURGICAL TACTICS IN DISSEMINATED PERITONITIS
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Abstract
Generalized peritonitis remains one of the most challenging problems in emergency abdominal surgery, associated with a high rate of postoperative complications and mortality. The aim of this study was to evaluate the prognostic value of integrated severity scales and to develop a differentiated approach to choosing a surgical strategy in patients with generalized peritonitis. Treatment outcomes were analyzed using the Mannheim Peritonitis Index (MPI), APACHE II, and SOFA scores. A comprehensive severity assessment was found to enable objective selection of indications for closed, semi-open, and open laparotomy completion, reduce unnecessary relaparotomies, and improve treatment outcomes.
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