[APPROACH TO ESTABLISHMENT OF INDICATIONS FOR PROGRAMMED SANATION OF ABDOMINAL CAVITY IN DIFFUSE PERITONITIS]

Area of Science:

• Surgical Gastroenterology
• Critical Care Medicine
• Abdominal Surgery

Context:

• Diffuse peritonitis presents significant challenges in surgical management.
• Postoperative programmed surgical sanitation is a key strategy.
• Enteral insufficiency is a critical indicator of patient prognosis.

Purpose:

• To analyze the outcomes of diffuse peritonitis treatment.
• To establish clear indications for relaparotomy.
• To correlate relaparotomy timing and frequency with patient mortality and complications.

Summary:

• The study evaluated 33 patients with diffuse peritonitis treated with programmed surgical sanitation.
• An estimation scale for enteral insufficiency severity guided decisions for relaparotomy.
• Analysis focused on causes of death and complications in relation to the timing and rate of relaparotomy.

Impact:

• Provides evidence-based criteria for timely surgical intervention in peritonitis.
• Aims to optimize patient management protocols for diffuse peritonitis.
• Contributes to reducing morbidity and mortality in critically ill surgical patients.