PRIORITY OF ENDOVIDEOSURGERY IN TREATMENT OF DIFFUSE PURULENT PERITONITIS WITH SUBCOMPENSATED POLYORGAN DYSFUNCTION

Abstract

An analysis of treatment results was made in 474 patients with a diffuse purulent peritonitis. It was shown, that a dynamics of indices of computer phonoenterography (preservation and aggravation of disturbed intestinal motility pattern) and gas-liquid chromatography (the invariable or increased level of acetic, propionic, butyric acid in blood and exudate) significantly supported an evidence objectification to staged sanitization of the abdominal cavity. Recurrent peritoneal lavage was performed in a case of polyorgan dysfunction evidence in the stage of subcompensation in 36, 7 patients. It could be carried out by endovideosurgical method in 82,2% of medical supervisions. The lethality consisted of 4,9% in a case of the application of staged laparoscopic sanitization of the abdominal cavity in complex treatment of patients with diffuse purulent peritonitis.

Keywords

• перитонит
• полиорганная дисфункция
• лечение
• эндовидеохирургия
• peritonitis
• polyorgan dysfunction
• endovideosurgery