title: [The current problems of relaparotomy].
abstract: Relaparotomy was performed in 252 of 23,232 (1.08%) patients operated upon. The most frequent cause of relaparotomy is purulent complications. These patients have immunodeficient states due to different causes (duration of the disease, old age, diabetes mellitus, toxemia, anemia, extension of the injuries, irrational administration of antibiotics). Due to it, anaerobic neclostridial infection is widely used. Its participation in the purulent process in the abdominal cavity achieves 80-90%. For prevention and treatment of purulent complications of great importance is the modern and adequate struggle against intoxication and hypoxia, correction of immunodepression, purposeful antimicrobial therapy. Problems in determination of indications for relaparotomy are emphasized and the necessity to perform it in earlier terms.
authors.forename: A L
authors.initials: AL
authors.lastname: Gushcha
authors.forename: A V
authors.initials: AV
authors.lastname: Nekrasov
authors.forename: I N
authors.initials: IN
authors.lastname: Zakharov
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015994:Incidence; D007813:Laparotomy / Q000401:mortality / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000453:epidemiology / Q000209:etiology / Q000401:mortality / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology / Q000401:mortality / Q000601:surgery; D012086:Reoperation / Q000401:mortality / Q000706:statistics & numerical data; D012426:Russia / Q000453:epidemiology; D013997:Time Factors
vernacular_title: Aktual'nye voprosy relaparotomii.