[Relaparotomy in patients with diffuse purulent peritonitis, aspects of aggressiveness].
The lengthwise prospective investigation included 189 patients with diffuse purulent peritonitis for studying the influence of operative trauma on the indices of blood circulation, endocrine system, liver function, intensity of systemic inflammation syndrome as well as effects of high intraperitoneal pressure on the circulation system and on the outcome of the disease as a whole. The investigation has revealed a correlation between the survival rate and the number of reoperations. It was shown that the greater the number of reoperations the higher the risk of the development of the systemic inflammation syndrome, organic dysfunctions and number of complications.
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D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000601:surgery*; D012086:Reoperation; D012720:Severity of Illness Index