Determining the prevalence of acute peritonitis in an experiment

Authors

  • A. I. Shurma Bukovyna State Medical University
  • F. V. Hrynchuk Bukovyna State Medical University

DOI:

https://doi.org/10.11603/2414-4533.2022.4.13346

Keywords:

acute peritonitis, the prevalence of acute peritonitis, laser beams, the width of the scattering zone of the laser beam

Abstract

The aim of the work: to study of the possibilities of objective assessment of the prevalence of AP in an experiment.

Material and Methods. 50 white non-linear rats. Acute peritonitis (AP) was modeled by intraperitoneal injection of a 20 % autofecal mixture. In 10 healthy (control) and 40 animals with HP models, 6, 12, 24, 48 hours after its initiation, a laparotomy was performed and the width of the scattering zone of laser beams (WSZLB) with wavelengths λ=0.63 μm and λ=0 was determined. 5 μm parietal peritoneum, after which it was taken for histological examination.

Results and Discussion. In the control of WSZLB at a wavelength of λ=0.63 μm = 6.2±0.12, at a wavelength of λ=0.5 μm – 6.0±0.15. After 6 hours from the time of modeling, signs of serous AP were detected, and later - purulent AP. After 6 hours, the WSZLB at a wavelength of λ=0.63 μm = 11.6±0.17, at a wavelength of λ=0.5 μm – 6.7±0.12, after 12 hours – 13.95±0, 16 and 7.62±0.12, after 24 hours – 16.17±0.16 and 9.52±0.12, after 24 hours – 16.17±0.16 and 9.52±0.12, after 48 hours – 17.15±0.14 and 10.27±0.12. The ratio of WSZLB indicators λ=0.63 μm / λ=0.5 μm in the control = 1.06±0.03, after 6 hours – 1.76±0.04, after 12 hours – 1.85±0.04 , after 24 hours – 1.71±0.02, after 48 hours – 1.68±0.02, which constantly significantly exceeded the control indicators (p<0.01).

In the case of AP, the parietal peritoneum with wavelengths of λ=0.63 μm and λ=0.5 μm increases statistically significantly, but the absolute parameters of the indicator are characterized by individual variability. The ratio of the parameters of WSZLB with a wavelength of λ=0.63 μm to that with a wavelength of λ=0.5 μm is statistically significantly different in unchanged and inflamed areas of the parietal peritoneum. Indicators of the ratio of less than 1.5 indicate the absence of inflammation, and an increase in the indicators indicates an inflammatory process.

References

Polianskyi, I., Hrynchuk, F., & Bilookyi, V. (2014). Hostryi perytonit na suchasnomu etapi – problemy, zdobutky i perspektyvy [Acute peritonitis at the modern stage – problems, achievements and prospects]. Klinichna anatomiia ta operatyvna khirurhiia – Clinical Anatomy and Operative Surgery. 13(1), 83-87. DOI: 10.24061/1727-0847.13.1.2014.21 [in Ukrainian].

Polovyi, V., Boiko, V., & Sydorchuk, R. (2012). Perytonit – odvichna problema nevidkladnoi khirurhii [Peritonitis is an eternal problem of emergency surgery]. Chernivtsi. Meduniversytet – Chernivtsi. Medical University 376. Retrieved from: http://irbis.bsmu.edu.ua › cgi-bin › cgiirbis_64 S21S. [in Ukrainian].

Andriushchenko, V., Andriushchenko, D., Fedorenko, S., & Dvorchyn, O. (2018). Hostryi hniinyi poshyrenyi perytonit: kontseptualni aspekty suchasnoi khirurhichnoi taktyky [Acute purulent disseminated peritonitis: conceptual aspects of modern surgical tactics]. ХХІV zyizd khirurhiv Ukrainy [Elektronnyi resurs]. Zb. nauk robit. – XXIV Congress of Surgeons of Ukraine [Electronic resource]: Collection. Sciences of works. Klin. Khirurhiia – Clinical Surgery, 231-232. Retrieved from: http://ir.librarynmu.com › bitstream › XXIV Congre [in Ukrainian].

Fomin, P., Usenko, O., & Bereznytskyi, Ya. (2018). Nevidkladna khirurhiia orhaniv cherevnoi porozhnyny (standarty orhanizatsii ta profesiino oriientovani alhorytmy nadannia khirurhichnoi dopomohy) [Emergency surgery of abdominal organs (standards of the organization and professionally oriented algorithms for providing surgical care)]. Kyiv: Biblioteka “Zdorovia Ukrainy”. Retrieved from: https://repo.dma.dp.ua/4219/1/Dovidnik-Nevidkladna-Hirurgiya-.pdf [in Ukrainian].

Van Ruler, O., & Boermeester, М. (2017). Surgical treatment of secondary peritonitis. A continuing problem. Der Chirurgia, 88(1), 1-6. DOI: 10.1007/s00104-015-0121-x.

Hecker, A., Reichert, M., Reuß, C., Schmoch, T., Riedel, J., Schneck, E., & Hecker M. (2019). Intra-abdominal sepsis: new definitions and current clinical standards. Langenbecks Arch. Surgery, 404(3), 257-271. DOI: 10.1007/s00423-019-01752-7.

Nascimbeni, R., Amato, A., Cirocchi, R., Serventi, A., Laghi, A., Bellini, M., Tellan, G., … Zago, M. (2021). Management of perforated diverticulitis with generalized peritonitis. A multidisciplinary review and position paper. Tech. Coloproctol., 25(2), 153-165. DOI: 10.1007/s10151-020-02346-y.

Tolonen, M., Sallinen, V., Leppäniemi, A., Bäcklund, M., & Mentula, P. (2019). The role of the intra-abdominal view in complicated intra-abdominal infections. World Journal Emergency Surgery, 14, 15. DOI: 10.1186/s13017-019-0232-7.

Hrynchuk, A., Hrynchuk, F., & Polianskyi, I. (2017). Obiektyvna diahnostyka poshyrenosti hostroho perytonitu [Objective diagnosis of the prevalence of acute peritonitis]. Kharkivska khirurhichna shkola – Kharkiv Surgical School, 1, 31-34. Retrieved from: https://surgical-school.com.ua/index.php/journal/issue/view/31/1-2017-pdf [in Ukrainian].

Lee, M., Kim, K., Jo, Y., Lee, J., & Hwang, J. (2016). Dose-dependent mortality and organ injury in a cecal slurry peritonitis model. Journal of Surgical Research, 206(2), 427-434. DOI: 10.1016/j.jss.2016.08.054.

Published

2022-12-29

How to Cite

Shurma, A. I., & Hrynchuk, F. V. (2022). Determining the prevalence of acute peritonitis in an experiment. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 45–49. https://doi.org/10.11603/2414-4533.2022.4.13346

Issue

Section

EXPERIMENTAL INVESTIGATIONS