Prolonged discrete abdominal cavity sanation in acute suppurative peritonitis

Abstract

Results of the treatment of 19 patients with acute peritonitis due to the application of preplanned relaparotomies and repeated sanations of the abdominal cavity, which were implemented every 48 hours, were analysed. All the patients were provided with the basic treatment according to the protocols adopted in Ukraine. In 9 patients, additionally to the basic treatment, was used the developed way of the prolonged discrete abdominal cavity sanitation which consists in the introducing into the area of the greatest lesion of the abdominal cavity a few thin perforated tubes (4-8), the number and length of which is being tailored individually. In the intervals between preplanned repeated sanations through the tubes twice a day the antiseptic solution (Dekasan) was injected. It is demonstrated that the application of the method promotes the acceleration of the patients’ rehabilitation. Average duration of the treatment made 14,71±1,06 as compared to 17,72±2,71 (days) in cases where patients were provided with the basic treatment. In two such patients had intraabdominal masses, and with the application of the prolonged discrete sanitation no complications were observed.