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[Laparostomy in treatment of diffuse peritonitis]

N P Makarova, O V Kirshina

    Khirurgiia
    |April 13, 2000
    PubMed

    Insights

    Programmed sanitation significantly reduced mortality in diffuse peritonitis patients compared to the Makokha method. Early "ventrophiles" use in sanitation also improved survival rates.

    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.

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