Postoperative peritonitis: epidemiology, diagnosis, surgical treatment and prognosis

Matveev I.A.; Dmitriev A.V.; Abraamyan K.V.; Lipovoy S.V.; Matveev A.I.; Matreninskikh A.O.

doi:https://doi.org/10.17116/hirurgia2025061104

Matveev I.A.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0000-0003-1312-1971

Dmitriev A.V.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0009-0007-5979-4895

Abraamyan K.V.

Regional clinical hospital No. 2

Lipovoy S.V.

Regional Clinical Hospital No. 1

ORCID: 0009-0009-8989-1826

Matveev A.I.

Regional Clinical Hospital No. 1

ORCID: 0000-0001-9213-4556

Matreninskikh A.O.

Tyumen State Medical University

ORCID: 0009-0008-9956-0599

Postoperative peritonitis: epidemiology, diagnosis, surgical treatment and prognosis

Authors:

Matveev I.A., Dmitriev A.V., Abraamyan K.V., Lipovoy S.V., Matveev A.I., Matreninskikh A.O.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(6): 104‑111

DOI: 10.17116/hirurgia2025061104

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To cite this article:

Matveev IA, Dmitriev AV, Abraamyan KV, Lipovoy SV, Matveev AI, Matreninskikh AO. Postoperative peritonitis: epidemiology, diagnosis, surgical treatment and prognosis. Pirogov Russian Journal of Surgery. 2025;(6):104‑111. (In Russ.)
https://doi.org/10.17116/hirurgia2025061104

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

Postoperative peritonitis is a rare but dangerous complication of gastrointestinal tract surgeries. Analysis of epidemiology, diagnostics, treatment, and prognosis of postoperative peritonitis was based on 35 manuscripts. Postoperative peritonitis is an uncommon (up to 6—7%) but dangerous complication with mortality rate >30%. Old age, comorbidities, impaired sealing of proximal digestive tract and delayed redo laparotomy are the main factors of high mortality. Late diagnosis of peritonitis is due to no specific signs, and its symptoms are explained by peculiarities of postoperative period and not associated with complication. Surgical treatment consists in eliminating the source of peritonitis or its effective isolating from abdominal cavity, adequate debridement and drainage of the abdominal cavity. The APACHEII scale and the Mannheim Peritonitis Index (MPI) are the most important in assessing the prognosis of peritonitis. The time of the first relaparotomy may be a sign of disease prognosis. The issues of early diagnostics of postoperative peritonitis remain unresolved that necessitates searching for the causes of late relaparotomy and high subsequent postoperative mortality.

Keywords:

anastomosis failure

early and late relaparotomy

mortality

Authors:

Matveev I.A.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0000-0003-1312-1971

Dmitriev A.V.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0009-0007-5979-4895

Abraamyan K.V.

Regional clinical hospital No. 2

Lipovoy S.V.

Regional Clinical Hospital No. 1

ORCID: 0009-0009-8989-1826

Matveev A.I.

Regional Clinical Hospital No. 1

ORCID: 0000-0001-9213-4556

Matreninskikh A.O.

Tyumen State Medical University

ORCID: 0009-0008-9956-0599

Received:

22.08.2024

Accepted:

26.09.2024

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