Peculiarities of the clinical course and treatment of acute extensive peritonitis of oncological genesis

Authors

  • O. I. Ivashchuk Bukovynian State Medical University
  • I. Ya. Hushul Вищий державний навчальний заклад України “Буковинський державний медичний університет
  • V. Yu. Bodyaka
  • V. P. Unhurian
  • I. D. Postevka

DOI:

https://doi.org/10.11603/2414-4533.2016.3.6788

Abstract

Algorithm of a surgical method of acute extensive peritonitis against a background of the large intestine, elaborated on the basis of the research of clinico-laboratory peculiarities of the clinical course of the latter, is presented in the article. It has been established that acute extensive peritonitis, which arose in consequence of a malignant neoplasm complication of the large intestine, particularly in combination with bowel obstruction, being for the most part general, with great quantity (over 600 ml) of serous peritoneal exudates, is accompanied with insufficiency of two and more organs’ systems, as well as intraperitoneal hypertension III-IV degrees. The proposed algorithm of the surgical procedure at acute extensive peritonitis against a background of the large intestine cancer, includes the application of a grade-scale of the method choice of the final or temporary closure of the abdominal cavity, determination of the optimal term of performing laparotomy. The efficacy of the method, namely, a decrease of the “local” postoperative complications quantity is marked 25 % (p<0.05), “systemic” 23.3 % (p<0.05) and postoperative mortality – 20.8 % (p<0.05) was demonstrated on 75 patients.

References

Bodyaka V. YU. Rolʹ vnutrishnʹocherevnoyi hipertenziyi v pislyaoperatsiynomu perebihu hostroyi kyshkovoyi neprokhidnosti ta hostroho poshyrenoho perytonitu : avtoref. dys. na zdobuttya naukovoho stupenya doktora med. nauk : spets. 14.01.03 “Khirurhiya” / V. YU. Bodyaka. – Vinnytsya, 2014. – 46 s.

Habryélyan N. Y. Opyt yspolʹzovanyya pokazateley srednykh molekul v krovy dlya dyahnostyky nefrolohycheskykh zabolevanyy u detey / N. Y. Habryélyan // Lab. delo. – 1984. – № 3. – S. 7–12.

Hresʹko M. M. Suchasni diahnostychni kryteriyi hostroho perytonitu / M. M. Hresʹko, O. V. Stasyshena, S. V. Kolibaba // Naukovyy visnyk mizhnarodnoho humanitarnoho universytetu. – 2014. – № 7. – S. 13–14.

Hushul I. YA. Osoblyvosti perebihu hostroho poshyrenoho perytonitu onkolohichnoho genezu / I. YA. Hushul, O. I. Ivashchuk, V. YU. Bodyaka // Bukovynsʹkyy medychnyy visnyk. – 2015. – T. 19, № 2 (74). – S. 62–65.

Dyahnostycheskaya znachymostʹ monytorynha vnutrybryushnoho davlenyya v vybore lechebnoy taktyky u bolʹnykh perytonytom / V. F. Zubrytskyy, A. L. Shchelokov, A. A. Kryukov [y dr.] // Ynfektsyy v khyrurhyy. – 2007. – № 3. – S. 52–54.

Prohnostychne znachennya Manheymsʹkoho indeksu pery¬tonitu v suchasniy nevidkladniy abdominalʹniy khirurhiyi / O. B. Matviychuk, D. M. Beshley, L. YA. Kletsko [ta in.] // Ukrayin¬sʹkyy zhurnal khirurhiyi. – 2010. – № 1. – S. 110–113.

Standarty orhanizatsiyi ta profesiyno oriyentovani protokoly nadannya medychnoyi dopomohy khvorym z nevidkladnoyu khirurhichnoyu patolohiyeyu orhaniv zhyvota : naukovo-metodychne vydannya / za redaktsiyeyu YA. S. Bereznytsʹkoho, P. D. Fomina. – K. : TOV “Doktor-Media”, 2010. – 470 s. – (Seriya “Biblioteka” Zdorovʺya Ukrayiny”).

Surgical treatment for complicated forms of colorectal cancer / A. A. Antadze, N. I. Lekvtadze, G. I. Chikobava, G. B. Gvantseladze // Georgian Med. News. – 2013. – N. 225. – P. 7–11.

Post-operative peritonitis due to anastomotic dehiscence after colonic resection. Multicentric experience, retrospective analysis of risk factors and review of the literature / R. Ruggiero, L. Sparavigna, G. Docimo [et al.] // Ann. Ital. Chir. – 2011. – N. 82 (5). – P. 369–375.

Spontaneous rupture of a sigmoid colon gastrointestinal stromal tumor manifesting as pneumoretroperitoneum with localized peritonitis: report of a case / Y. Hwangbo, J. Y. Jang, H. J. Kim [et al.] // Surg. Today. – 2011. – No. 41 (8). – P. 1085–1090.

Peritoneal cytokines as early markers of peritonitis following surgery for colorectal carcinoma: a prospective study / T. Yamamoto, S. Umegae, K. Matsumoto, A. R. Saniabadi // Cytokine. – 2011. – No. 53 (2). – P. 239–242.

Downloads

Published

2016-11-02

How to Cite

Ivashchuk, O. I., Hushul, I. Y., Bodyaka, V. Y., Unhurian, V. P., & Postevka, I. D. (2016). Peculiarities of the clinical course and treatment of acute extensive peritonitis of oncological genesis. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3). https://doi.org/10.11603/2414-4533.2016.3.6788

Issue

No. 3 (2016)

Section

ORIGINAL INVESTIGATIONS

License

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. 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.  
  2. 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.
  3. 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).