[Laparostomy as a part of intensive surgical care]

The presented paper is based on an analysis of 24 cases where as part of comprehensive surgical care the laparostomic procedure was used. In nine patients advanced diffuse peritonitis was involved, nine times the method was applied in patients with haemorrhagic necrotizing pancreatitis, four times in intestinal ischaemia and twice as a temporary closure of an extensive defect of the abdominal wall. In all instances a zipper of Ethicon Co. was used. Eight patients died i.e. lethality was 33%. The main contribution of the method is according to the authors the possibility of easy repetition of the surgical intervention in the abdominal cavity with elimination of septic foci and effective decompression of the abdominal cavity which has a positive impact on ventilation.