Related Experiment Videos
[Use of open method of treatment in diffuse purulent peritonitis in children]
Insights
Laparotomy, an open surgical approach, effectively treated diffuse purulent peritonitis in 22 children. This method allowed adequate abdominal drainage, reduced intoxication, and resolved enteroparesis in most cases.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
Context:
- Diffuse purulent peritonitis presents a significant challenge in pediatric surgical care.
- Prompt and effective management is crucial to reduce morbidity and mortality.
Purpose:
- To evaluate the efficacy of laparotomy as an open treatment method for diffuse purulent peritonitis in children.
- To assess the outcomes, including drainage, intoxication, enteroparesis resolution, and complications, associated with this surgical approach.
Summary:
- Laparotomy was performed on 22 children (aged 1-14 years) with diffuse purulent peritonitis.
- The open surgical method facilitated adequate abdominal cavity drainage, leading to the resolution of intoxication within 2-3 days and elimination of enteroparesis in most patients.
- A single or repeated abdominal cavity sanitation was sufficient for 90.5% of patients. Laparostoma closure occurred between days 2-7 post-operation, with a mortality rate of 4.5%.
Impact:
- Laparotomy offers a viable and effective treatment strategy for pediatric diffuse purulent peritonitis.
- The study highlights the benefits of adequate abdominal drainage and sanitation in improving patient outcomes and reducing complications.
Abstract:
Open method of treatment--laparotomy--was used in 22 children with diffuse purulent peritonitis, aged from 1 to 14 years. This permitted to drain adequately the abdominal cavity after the operation, to abolish the intoxication during 2-3 days in the most observations, to eliminate the enteroparesis. The single repeated abdominal cavity sanation was sufficient in 19 (90.5%) children, in 2 she was applied twice. Laparostoma was closed in 17 (80.9%) patients on the 2-3 th day, in 4--on the 4-7 th day after the operation. One child (4.5%) died.