Clinical and morphological criteria for the selection of terms of laparoscopic treatment of patients with acute peritonitis
DOI:
https://doi.org/10.11603/2414-4533.2022.2.13170Keywords:
peritonitis, laparoscopyAbstract
The aim of the work: to study the possibilities and terms of treatment of patients with acute surgical pathology complicated by peritonitis with the priority use of mini-invasive surgical treatment methods.
Materials and Methods. 98 patients with acute surgical pathology, which led to the development of acute peritonitis, were included in the study. The patients were divided into two groups: the experimental group and the comparison group. The age of the patients was from 18 to 85 years, the average age of the patients was 48.8 years. All patients underwent general clinical and instrumental methods of examination both in the preoperative and postoperative period.
Results and Discussion. The use of video-assisted surgical treatment methods contributes to a more reliable and faster search for the source of peritonitis, a better intraoperative assessment of morphological changes and their correction. Extension of indications to mini-invasive methods of treatment for peritonitis is possible subject to further refinement and improvement of the technique of operations. According to the results of the research evaluation, it was established that the terms of treatment of acute surgical pathology complicated by peritonitis by the laparoscopic method allowed reducing the postoperative period by an average of (37+2.1) %.
References
Kumar, D., Garg, I., Sarwar, A.H., Kumar, L., Kumar, V., Ramrakhia, S., Naz, S., Jamil, A., Iqbal, Z.Q., & Kumar, B. (2021). Causes of acute peritonitis and its complication. Cureus, 13 (5), e15301. https://doi.org/10.7759/cureus.15301
Hu, J., Zhang, H., & Yi, B. (2021). Peritoneal transport status and firstepisode of peritonitis: a largecohortstudy. Renalfailure, 43 (1), 1094-1103. https://doi.org/10.1080/0886022X.2021.1949350
Ruault, C., Zappella, N., Labreuche, J., Cronier, P., Claude, B., Garnier, M., Vieillard-Baron (2021). Identifying early indicators of secondary peritonitis in critically ill patients with cirrhosis. Scientificreports, 11 (1), 21076. https://doi.org/10.1038/s41598-021-00629-4
Oki, R., Tsuji, S., Hamasaki, Y., Komaru, Y., Miyamoto, Y., Matsuura, R., Yamada, D., Doi, K., et al. (2021). Time until treatment initiation is associated with catheter survival in peritoneal dialysis-related peritonitis. Scientific Reports, 11 (1), 6547. https://doi.org/10.1038/s41598-021-86071-y
Ordoñez, C.A., & Puyana, J.C. (2006). Management of peritonitis in the critically ill patient. Surgical Clinics of North America, 86 (6), 1323-1349. https://doi.org/10.1016/j.suc.2006.09.006
Evans, L., Rhodes, A., & Alhazzani, W. (2021). Surviving sepsis campaign: international guidelines for management of sepsis and septic shock. Intensive Care Med., 47, 1181-1247. https://doi.org/10.1007/s00134-021-06506-y
Volk, S.W. (2015). Peritonitis. Small Animal Critical Care Medicine, 643-648. https://doi.org/10.1016/B978-1-4557-0306-7.00122-7
Roig, J.V., Salvador, A., Frasson, M., Cantos, M., Villodre, C., Balciscueta, Z., García-Calvo, R., et al. (2016). Tratamiento quiru´ rgico de la diverticulitis aguda. Estudio retrospectivo multice´ntrico. Cirugi´a Espanola, 94 (10), 569-577. DOI: 10.1016/j.ciresp.2016.10.005. Epub 2016 Nov 16. PMID: 27865426.
Hyland, S.J., Brockhaus, K.K., Vincent, W.R., Spence, N.Z., Lucki, M.M., Howkins, M.J., & Cleary, R.K. (2021). Perioperative pain management and opioid stewardship: A practical guide. Healthcare (Basel, Switzerland), 9(3), 333. https://doi.org/10.3390/healthcare9030333
Kol, E., Alpar, S.E., & Erdoğan, A. (2014). Preoperative education and use of analgesic before onset of pain routinely for post-thoracotomy pain control can reduce pain effect and total amount of analgesics administered postoperatively. Pain Manag Nurs., 15 (1): 331-339. DOI: 10.1016/j.pmn.2012.11.001. Epub 2013 Feb 26. PMID: 23485658.
Dziubanovskyi, I.Ya., Verveha, B.M., Prodan, А.M. & Kovalchuk, A.А. (2019). Eksperymentalne obhruntuvannia rozvytku syndromu poliorhannoi nedostatnosti na osnovi dynamiky morfolohichnykh zmin vnutrishnikh orhaniv pry hostromu poshyrenomu perytoniti [Experimental justification of development of multiple organ failure syndrome based on the dynamics of morphological changes in internal organs with acute diffuse peritonitis]. Klinichna anatomiia ta operatyvna khirurhiia – Clinical Anatomy and Operative Surgery,18 (3), 43-48 [in Ukrainian].
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Hospital Surgery. Journal named by L.Ya. Kovalchuk
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
