[Laparoscopic sanitation of the abdominal cavity in combined treatment of peritonitis].
Standard methods of treatment were analyzed in 228 patients with general peritonitis of different etiology: sanitation and drainage of abdominal cavity, peritoneal lavage, programmed laparotomy compared with laparoscopic sanitation (LS) performed in 60 patients. A significant decrease in the number of purulent-inflammatory complications, intestinal fistulas and broncho-pulmonary complications were seen after LS. It was most effective for treatment of peritonitis with Mannheim peritoneal index from 16 to 29 points (lethality 11.8%) compared with conventional treatment (p < 0.05). Indications and contraindications for LS, original device "BRUSAN" were developed. Abdominal LS is a highly effective and mini-invasive method of local treatment in general peritonitis.
Malkov
I S
IS
Shaĭmardanov
R Sh
RSh
Zaĭnutdinov
A M
AM
Birial'tsev
V N
VN
Lustina
N I
NI
D003131:Combined Modality Therapy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010533:Peritoneal Lavage; D010538:Peritonitis / Q000601:surgery / Q000628:therapy*