[Laparostomy in treatment of diffuse peritonitis]

Area of Science:

• Surgery
• Critical Care Medicine
• Infectious Diseases

Background:

• Diffuse peritonitis presents significant mortality challenges.
• Laparostomy is a critical intervention for managing peritonitis.
• Evaluating surgical techniques is vital for improving patient outcomes.

Purpose of the Study:

• To compare the efficacy of two laparostomy methods in treating diffuse peritonitis.
• To assess the impact of programmed sanitation versus the Makokha method on mortality rates.
• To determine the influence of the timing of "ventrophiles" fixation on patient survival.

Main Methods:

• A retrospective study of 215 diffuse peritonitis patients from 1989 to 1997.
• Comparison of programmed sanitation (68.8%) and Makokha method (31.2%) for laparostomy.
• Analysis of lethality rates based on treatment period and "ventrophiles" fixation timing.

Main Results:

• Lethality decreased from 67.6% (1989-1992) to 35.4% (1993-1997) with the adoption of programmed sanitation.
• Patients undergoing "ventrophiles" fixation during initial operation had a 25.7% lethality rate.
• Patients with "ventrophiles" fixation during second or later procedures had a 45.7% lethality rate.

Conclusions:

• Programmed sanitation is associated with a significant reduction in mortality for diffuse peritonitis.
• Early "ventrophiles" fixation during laparostomy improves survival outcomes in peritonitis patients.
• The shift towards programmed sanitation and early intervention strategies has demonstrably improved survival rates.