[Pathogenetic aspects of the treatment of diffuse suppurative peritonitis]

Experience with the treatment of 130 patients with generalized purulent peritonitis is analysed. The complex of therapeutic measures included intraoperative cleansing of abdominal cavity with ultrasound; postoperative prolonged laparoscopic cleansing with the use of rational antibacterial therapy and laser irradiation of the abdominal cavity. The cell immunity values in patients with peritonitis were studied and the principles of immunocorrective therapy substantiated. It is shown that detoxification measures are necessary in the treatment of this category of patients. A complex approach to the treatment of purulent peritonitis led to a decrease in mortality to 13.8%.