POSTOPERATIVE COMPLICATIONS IN DISSEMINATED PERITONITIS AND FACTORS OF THEIR DEVELOPMENT
Keywords:
generalized peritonitis, postoperative complications, laparotomy, staged sanitation of the abdominal cavity.Abstract
A retrospective analysis of the complication structure in 175 patients with peritonitis was performed depending on the method of surgical treatment. It was found that true laparostomy is accompanied by the maximum risk of wound edge retraction (71.4%), nosocomial infection (76.2%), and general complications. "Semi-open" staged sanitation of the abdominal cavity reduces the risk of purulent wound complications by 2.5–2.9 times (F = 0.025), acute respiratory failure — by 1.8 times (F = 0.277), moderately increasing the risk of nosocomial infection. "Semi-closed" treatment method is associated with a high risk of wound suppuration and respiratory failure.
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1. Analysis of the clinical picture in patients of the control group with RP showed a high frequency of postoperative complications (65.5%), one or more peritoneal and/or systemic complications were recorded. The most frequent peritoneal complications were intra-abdominal abscesses, recurrent RP, anastomotic failure and early adhesive intestinal obstruction.
2. Dynamic observation showed that systemic complications developed mainly in the first 1-4 days of POP and were associated with early TS, SS, homeostasis disorder, while peritoneal complications formed within 5-10 days of POP, which corresponds to the phase of local inflammation and secondary infection
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