title: [The treatment of appendicular peritonitis in children].
abstract: The experience of treatment of 513 children with an acute destructive appendicitis, complicated by peritonitis, was presented. The guided laparostomy conduction in patient in terminal state had promoted the frequency lowering of the postoperative complications occurrence and of the patients deaths. In 11 patients, whose state was estimated as extremely severe, laparostomy with double bottom according to classical method was performed. Of them 8 had recovered, 3 died, in 7 patients the complications occurred: the intestinal loops eventration--in 2 and postoperative infiltrate--in 5. The prolonged novocainic block of the terminal ileum mesentery and ileocecal valve with transcutaneous retroperitoneal introduction of catheter to mesentery according to Seldinger was applied for the treatment.
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000779:Anesthetics, Local / Q000627:therapeutic use; D001064:Appendicitis / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008297:Male; D010533:Peritoneal Lavage / Q000379:methods; D010538:Peritonitis / Q000209:etiology* / Q000628:therapy*; D011343:Procaine / Q000627:therapeutic use