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PROGRAMMED AND EMERGENCY RELAPAROTOMY IN THE TREATMENT OF DIFFUSE PERITONITIS

S. S. Maskin, V. A. Golbraykh, T. V. Derbenzeva, A. M. Karsanov, N. K. Ermolaeva, D. S. Lopasteysky

Волгоградский государственный медицинский университет, кафедра госпитальной хирургии

Abstract

A comparative analysis of the results of surgical treatment of 921 patients with diffuse peritonitis using programmed (135) and emergency relaparotomy (138), one stage laparotomy (648) was carried out. We investigated the dynamics of the course and outcome of diffuse peritonitis, depending on the degree of endogenous intoxication and indicators of MPI and analysis of the causes of mortality. Early-term programmed relaparotomy in peritonitis reduced the mortality rate from 32,6 to 25,2 % in the most severe patients.

Keywords

peritonitis, relaparotomy.

Contacts

Маскин Сергей Сергеевич — д. м. н., профессор, зав. кафедрой госпитальной хирургии, Волгоградский государственный медицинский университет, e-mail: maskins@bk.ru