[Peritoneo-enteric lavage in generalized purulent peritonitis during multiple organ insufficiency]

Area of Science:

• Surgery
• Critical Care Medicine
• Gastroenterology

Context:

• Generalized purulent peritonitis is a severe condition often leading to polyorganic insufficiency.
• Surgical treatment focuses on organ-resuscitation measures in the abdominosplanchnic zone.
• This study involved 100 patients with 72-hour peritonitis duration.

Purpose:

• To evaluate the efficacy of peritoneoenteric lavage combined with other intensive treatments for generalized purulent peritonitis.
• To determine the optimal surgical approach for patients in the polyorganic insufficiency stage.

Summary:

• The study analyzed two matched groups of patients with severe peritonitis.
• Peritoneoenteric lavage with oxygenated glucose solution, alongside intensive infusion-transfusion, antibacterial therapy, and extracorporeal detoxification, was investigated.
• A combination of peritoneal lavage and enteric lavage via a specific iliostomy technique yielded the best results.

Impact:

• Highlights a promising therapeutic strategy for a critical surgical condition.
• Suggests that integrated organ-resuscitation measures, particularly peritoneoenteric lavage, can significantly improve patient outcomes.
• Provides evidence for a superior treatment protocol in managing complex peritonitis cases.