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PROGRAMMED LAPAROSCOPY IN THE OF DIFFUSE APPENDICULAR PERITONITIS TREATMENT OF CHILDREN

Ihor V Ksonz1, Denys V Khmilevskyi1, Ievhen M Grytsenko1

  • 1POLTAVA STATE MEDICAL UNIVERSITY, POLTAVA, UKRAINE.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|July 30, 2022
PubMed

Insights

Programmed laparoscopy effectively manages diffuse appendicular peritonitis in children by monitoring treatment and controlling the abdominal infection. This approach allows for timely intervention and assessment of the inflammatory process.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Minimally Invasive Surgery

Background:

  • Diffuse appendicular peritonitis presents significant challenges in pediatric surgical care.
  • Effective management requires precise assessment of the intra-abdominal infectious-inflammatory process.

Purpose of the Study:

  • To analyze the implementation of programmed laparoscopy for diffuse appendicular peritonitis in children.
  • To define criteria for the termination of programmed laparoscopy.
  • To evaluate the utility of the modified abdominal index (AI) in assessing treatment effectiveness.

Main Methods:

  • Programmed laparoscopy was utilized in 28 pediatric patients (ages 1-16) with diffuse appendicular peritonitis since 2017.
  • The modified abdominal index (AI) was calculated during initial and repeat laparoscopic procedures.
  • AI scores were analyzed to track the inflammatory process and treatment response.

Main Results:

  • Programmed laparoscopy enables dynamic assessment of the intra-abdominal infectious-inflammatory process.
  • Initial AI scores ranged from 14-22 (average 17.5 ± 1.3).
  • Post-intervention AI scores during programmed laparoscopy ranged from 3-11 (average 9.15 ± 1.48), indicating reduced inflammation.

Conclusions:

  • Programmed laparoscopy is a valuable tool for controlling diffuse peritonitis in children.
  • It facilitates prompt identification and management of intra-abdominal complications.
  • The modified abdominal index (AI) objectively quantifies lesion severity and disease progression.
Abstract

Keywords:
childrendiffuse peritonitisprogrammed laparoscopy

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