[Decision on the method of surgical intervention for diffuse purulent peritonitis]

Area of Science:

• Surgical Gastroenterology
• Critical Care Medicine
• Infectious Diseases

Background:

• Diffuse purulent peritonitis presents significant management challenges.
• Abdominal sepsis and subsequent organ insufficiency complicate patient outcomes.
• Optimal treatment strategies require careful patient stratification.

Purpose of the Study:

• To analyze treatment outcomes for diffuse purulent peritonitis.
• To define indications for different surgical approaches based on sepsis severity.
• To improve patient management protocols for abdominal sepsis.

Main Methods:

• Retrospective analysis of 245 patients with diffuse purulent peritonitis.
• Stratification of patients based on clinical presentation and organ involvement.
• Evaluation of treatment efficacy for traditional, video-laparoscopic, and staged surgical methods.

Main Results:

• The traditional semi-closed treatment method is recommended for patients with abdominal sepsis.
• Programmed video-laparoscopies are indicated for abdominal sepsis, with or without mono-organic insufficiency.
• Staged surgical sanitation of the abdominal cavity is necessary for severe abdominal sepsis with poly-organic insufficiency.

Conclusions:

• Treatment selection for diffuse purulent peritonitis must be tailored to sepsis severity and organ function.
• Specific surgical interventions correlate with improved outcomes in different patient subgroups.
• This analysis provides evidence-based guidelines for managing complex peritonitis cases.