title: [Decision of the indications for relaparotomy in case of widespread peritonitis].
abstract: Use of trending analysis of multiple organ failure points in 40 patients with widespread peritonitis allowed to determine the features of its formation and regression. It was detected 4 stages of multiple organ failure. The first stage is origin and development. The second stage is slowdown of development. The third stage is regression. And the fourth stage is final. The definition of multiple organ failure stage and number of stab neutrophiles allows to determine the indications for relaparotomy timely. Sensitivity of such method was 0.9, specificity was 0.8. So, it was obtained a tool for determination of the indications for relaparotomy "on demand". It was able to identify need for surgery on the early stages objectively.
authors.forename: P Ia
authors.initials: PIa
authors.lastname: Sandakov
authors.forename: A I
authors.initials: AI
authors.lastname: Starikova
mesh_terms: D034841:Abdominal Cavity / Q000601:surgery*; D005260:Female; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000097:blood / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D009504:Neutrophils; D063305:Organ Dysfunction Scores; D017063:Outcome Assessment, Health Care; D018579:Patient Selection; D010538:Peritonitis / Q000150:complications*; D012086:Reoperation / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index