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Bensman V.M.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodarskaia kraevaia klinicheskaia bol'nitsa #1 im. prof. S.V. Ochapovskogo

Savchenko Iu.P.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodar

Shcherba S.N.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodar;
kraevaia klinicheskaia bol'nitsa #1 im. prof. S.V. Ochapovskogo, Krasnodar

Golikov I.V.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodarskaia kraevaia klinicheskaia bol'nitsa #1 im. prof. S.V. Ochapovskogo

Triandafilov K.V.

Research Institute — Ochapovsky Krasnodar Regional Clinical Hospital №1

Chaĭkin V.V.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodarskaia kraevaia klinicheskaia bol'nitsa #1 im. prof. S.V. Ochapovskogo

Pyatakov S.N.

Sochi City Hospital №4

Saakyan A.S.

Ust-Labinsk Central Regional Hospital of Krasnodar Territoryk, Russia

Saakyan E.A.

Ust-Labinsk Central Regional Hospital of Krasnodar Territoryk, Russia

Laparotomy closure in advanced peritonitis

Authors:

Bensman V.M., Savchenko Iu.P., Shcherba S.N., Golikov I.V., Triandafilov K.V., Chaĭkin V.V., Pyatakov S.N., Saakyan A.S., Saakyan E.A.

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Journal: Pirogov Russian Journal of Surgery. 2016;(7): 30‑35

DOI: 10.17116/hirurgia2016730-35

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LAPAROTOMY CLOSURE IN ADVANCED PERITONITIS
LAPAROTOMY CLOSURE IN ADVANCED PERITONITIS

To cite this article:

Bensman VM, Savchenko IuP, Shcherba SN, et al. . Laparotomy closure in advanced peritonitis. Pirogov Russian Journal of Surgery. 2016;(7):30‑35. (In Russ.)
https://doi.org/10.17116/hirurgia2016730-35

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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Aim. To improve the results of advanced peritonitis management. Material and methods. 743 patients with advanced peritonitis were studied. Patients were divided into 2 groups depending on treatment strategy. Results. Programmed relaparotomy combined with removable draining musculoaponeurotic seams during laparotomy closure decreased mortality from 47.8±2.7% to 24.1±2.3% (p<0.001) and provided 4-fold reduction of postoperative suppuration incidence (p<0.001). Refusal from removable draining musculoaponeurotic seams and use of only cutaneous seams in persistent abdominal hypertension were associated with further decrease of mortality to 15.8±2.7% (p<0.05). Conclusion. Programmed relaparotomy combined with removable draining musculoaponeurotic seams are advisable for advanced peritonitis management. Laparotomy closure with only cutaneous seams is indicated in case of persistent abdominal hypertension. Large eventration always requires abdominal wall repair. APACHE-III scale scores have significant prognostic value in patients with advanced peritonitis.

Keywords:

peritonitis
seams
peritonitis
relaparotomy
seams
relaparotomy
eventration
eventration
mortality
mortality
peritonitis
peritonitis
seams
relaparotomy
eventration
mortality
seams
relaparotomy
eventration
mortality
peritonitis
seams
relaparotomy
eventration
mortality
peritonitis
seams
peritonitis
relaparotomy
seams
relaparotomy
eventration
eventration
mortality
mortality
peritonitis
peritonitis
seams
relaparotomy
eventration
mortality
seams
relaparotomy
eventration
mortality
peritonitis
seams
relaparotomy
eventration
mortality

Authors:

Bensman V.M.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodarskaia kraevaia klinicheskaia bol'nitsa #1 im. prof. S.V. Ochapovskogo

Savchenko Iu.P.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodar

Shcherba S.N.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodar;
kraevaia klinicheskaia bol'nitsa #1 im. prof. S.V. Ochapovskogo, Krasnodar

Golikov I.V.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodarskaia kraevaia klinicheskaia bol'nitsa #1 im. prof. S.V. Ochapovskogo

Triandafilov K.V.

Research Institute — Ochapovsky Krasnodar Regional Clinical Hospital №1

Chaĭkin V.V.

Kafedra obshcheĭ khirurgii Kubanskogo gosudarstvennogo meditsinskogo universiteta, Krasnodarskaia kraevaia klinicheskaia bol'nitsa #1 im. prof. S.V. Ochapovskogo

Pyatakov S.N.

Sochi City Hospital №4

Saakyan A.S.

Ust-Labinsk Central Regional Hospital of Krasnodar Territoryk, Russia

Saakyan E.A.

Ust-Labinsk Central Regional Hospital of Krasnodar Territoryk, Russia

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