Treatment efficacy of widespread secondary purulent peritonitis with the use Of relaparotomy

Authors

  • S. Y. Zaporozhan I. Horbachevsky Ternopil National Medical University
  • V. O. Tkach Rivne Regional Clinical Hospital
  • O. A. Dombrovskyi I. Horbachevsky Ternopil National Medical University Rivne Regional Clinical Hospital

DOI:

https://doi.org/10.11603/2414-4533.2020.3.11462

Keywords:

peritonitis, relaparotomy, Mannheim Peritonitis Index

Abstract

The aim of the work: to analyze the results of treatment of patients with common secondary purulent peritonitis and compare the effectiveness of different treatments.

Materials and methods. A retrospective analysis of the results of treatment of 545 patients with secondary purulent peritonitis who were treated in the Department of General Surgery and Proctology Rivne Regional Clinical Hospital from 2015 to 2019 was performed. Incidence: local (demarcated) peritonitis was detected in 47.7 %, widespread or diffuse in 16.51 %, general or total in 35.78 %. According to the Mannheim Peritonitis Index, patients were divided into three groups MPI <16 in 36.6 %; 17 <MPI <21 in 31.7 %; MPI> 22 in 31.7 %.

Results and Discussion. In 51 patients, relaparotomy was performed, which is 9.26 %. Of these, relaparotomy “on demand” was performed in 36 (6.51 %), and programmed relaparotomy – in 15 (2.75 %). The number of relaparotomies in one patient ranged from 1 to 15. The average number – 3. In the structure of diseases about which relaparotomy was performed: acute destructive pancreatitis in 22 (44.43 %) patients, gastric ulcer and duodenal ulcer complicated by perforation of ulcer 5 (11, 12%), gallstone disease and its complications 5 (11.12 %), mesenteric vascular thrombosis 3 (5.55 %), colon and rectal cancer 3 (5.55 %), diverticular disease of the colon and other inflammatory bowel diseases, gastric cancer, damage to the hollow organs of the abdominal cavity 11 (22.23 %), infected ascites on the background of CKD 2 (3.67 %). Among 545 operated patients in the postoperative period, 135 patients died (24.77 %). In the group of patients after relaparotomies, 20 patients died (39.2 %).

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Published

2020-10-23

How to Cite

Zaporozhan, S. Y., Tkach, V. O., & Dombrovskyi, O. A. (2020). Treatment efficacy of widespread secondary purulent peritonitis with the use Of relaparotomy. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 50–54. https://doi.org/10.11603/2414-4533.2020.3.11462

Issue

No. 3 (2020)

Section

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