[Relaparotomy in the treatment of generalized postoperative peritonitis].
The results of treatment of 46 patients with postoperative peritonitis, caused by intestinal sutures incompetence (41.4%) and break of the abscess into the abdominal cavity (32.6%) are analysed. The mortality rate after the single relaparotomy is 30.6%, and in repeated surgeries-65.6%. Monitoring of clinical and laboratory parameters, and the use of X-ray examination, laparoscopy, ultrasound examination and CT promotes early diagnosis of postoperative peritonitis. Removal of the major cause of peritonitis, detoxication of a body and correction of metabolic disorders are the main targets of the operation and postoperative treatment. Closure of the postoperative wound with p-shaped Donaty sutures in combination with the knotted and polyspas sutures makes it possible to decrease the rate of the intestinal eventration.
Rygachev
G P
GP
Department of General Surgery, State Medical Institue, Minsk.
Nekhaev
A N
AN
Kerez'
P I
PI
Kremen'
V E
VE
D018784:Abdominal Abscess / Q000150:complications; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications; D012086:Reoperation; D013537:Sutures / Q000009:adverse effects