[Hardware controlled laparostomy in staged treatment of peritonitis with abdominal compression syndrome].
Clinical results of treatment were analyzed in 97 with patients generalized peritonitis. Application of staging hardware controlled laparostomy (HCL) allowed to halve the frequency of wound complication in comparison with semienclosed treatment mode. High clinical efficacy of control and correction of biophysical parameters of abdominal cavity was revealed: lethality from generalized peritonitis decreases in 2.4 times (from 39.3% to 14.3%) as a result of HCL application with monitoring and correction of intra-abdominal pressure in comparison with uncontrolled traditional treatment modes. Construction of the apparatus used for controlled laparostomy allows to open and close abdominal cavity under control of intra-abdominal pressure and tighting force of paravulnar tissues.
Izmaĭlov
S G
SG
Riabkov
M G
MG
Shchukin
A Iu
AIu
Beschastnov
V V
VV
Martynov
V L
VL
D000005:Abdomen; D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D003161:Compartment Syndromes / Q000150:complications / Q000601:surgery*; D019299:Decompression, Surgical / Q000295:instrumentation*; D004195:Disease Models, Animal; D004285:Dogs; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult