JUSTIFICATION OF THE USE OF AEROSOL SANITATION OF THE PERITONEAL CAVITY IN THE COMPLEX TREATMENT OF ACUTE PERITONITIS

Abstract

Summary. The proposed work: To improve the results of surgical treatment of patients with acute peritonitis by developing a new aerosol remediation of the abdominal cavity. Material and methods. A clinical and laboratory examination of 40 patients with acute disseminated peritonitis was carried out, a method of aerosol remediation of the peritoneal cavity with programmed relaparaperties was developed The results. The developed method of aerosol sanitation of the peritoneal cavity with programmed laparotomy is the method of choice for treating patients with widespread forms of acute peritonitis. It creates opportunities for a long-term local influence on the course of the inflammatory process in the peritoneal cavity, allows to rehabilitate it, remove microorganisms and toxic products before they accumulate and generalize, and exclude their further action on the tissues of the peritoneal cavity. Conclusions. The terms of programmed laparotomy should be determined individually, depending on the nature of the pathological process and the patient’s condition. However, at the initial stages of treatment, repeated exposures should be carried out no later than 72 hours, since the conditioned effect of ZL is maintained during this time. The use of the developed method of rehabilitation of postoperative wounds and cavities made it possible to reduce the number of programmed laparotomy to 3, with the final suturing of the abdominal cavity up to 8 days of the postoperative period.