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Sandakov P.Ia.

Permskaia gosudarstvennaia meditsinskaia akademiia im. akad. E.A. Vagnera

Starikova A.I.

Gorodskaia klinicheskaia bol'nitsa #4, Perm'

Decision of the indications for relaparotomy in case of widespread peritonitis

Authors:

Sandakov P.Ia., Starikova A.I.

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Journal: Pirogov Russian Journal of Surgery. 2014;(4): 16‑19

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To cite this article:

Sandakov PIa, Starikova AI. Decision of the indications for relaparotomy in case of widespread peritonitis. Pirogov Russian Journal of Surgery. 2014;(4):16‑19. (In Russ.)

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Use of trending analysis of multiple organ failure points in 40 patients with widespread peritonitis allowed to determine the features of its formation and regression. It was detected 4 stages of multiple organ failure. The first stage is origin and development. The second stage is slowdown of development. The third stage is regression. And the fourth stage is final. The definition of multiple organ failure stage and number of stab neutrophiles allows to determine the indications for relaparotomy timely. Sensitivity of such method was 0.9, specificity was 0.8. So, it was obtained a tool for determination of the indications for relaparotomy "on demand". It was able to identify need for surgery on the early stages objectively.

Keywords:

peritonitis
relaparotomy

Authors:

Sandakov P.Ia.

Permskaia gosudarstvennaia meditsinskaia akademiia im. akad. E.A. Vagnera

Starikova A.I.

Gorodskaia klinicheskaia bol'nitsa #4, Perm'

List of references:

  1. Red'ko А.А., Chalenko V.V. Poliorgannaya nedostatochnost' [Multiorgan failure]. - M.:Meditsina, 2012. - 624 s. (In Russian)
  2. Savel'ev V.S., Filimonov M.I., Podachin P.V., Stupin V.А. Relaparotomiya v khirurgii rasprostranennogo peritonita [Relaparotomy in surgery ofdiffuse peritonitis]. Infektsiya v khirurgii. M 2007; 3: 6-13. (In Russian)
  3. Savel'ev V.S. i dr. Rukovodstvo po neotlozhnoj khirurgii organovbryushnoj polosti [Guidelines foremergencyabdominal surgery]. Pod red. V.S. Savel'eva. M: Triada-KH 2006; 640. (In Russian)

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