Open abdomen – surgical treatment options for peritonitis.
DOI:
https://doi.org/10.52692/1857-0011.2025.3-83.16Keywords:
peritonitis, laparostomy, VAC-assisted laparostomyAbstract
The article presents data from the specialized literature on the treatment of diffuse peritonitis, considered one of the difficult and complex problems of surgery, characterized by a high mortality rate <70%. The analysis of 30 patients with progressive peritonitis, who were treated using the laparostomy method – “open abdomen”, is presented. The main stages of temporary closure of the abdominal cavity using the traditional laparostomy method and laparostomy with the use of a vacuum suction system in the study group are described in detail. In conclusion, it is summarized that management through the open abdomen (laparostomy) remains an important element in surgical treatment of extensive peritonitis. The choice of treatment method should be individual, taking into account the patient’s biological condition and local intraoperative conditions.
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