Comparative evaluation of the effectiveness of vacuum-assisted and traditional laparostomy in diffuse peritonitis
Abstract
The ongoing problem of high rate of postoperative
mortality for diffuse peritonitis with sepsis and septic shock indicate not
only the complexity of the problem and the difficulty of its radical solution
for many years, despite the modern achievements of intensive care and surgery,
but also the need for further search for various methods and tactical
approaches in the treatment of this category of patients.
A comparative evaluation of the effectiveness of
vacuum-assisted laparostomy and traditional laparostomy in patients with
diffuse peritonitis showed the advantage of vacuum-assisted laparostomy as a
priority method of temporary closure of the abdominal cavity during the “on
program” tactics, which, moreover, allows more often to perform delayed aponeurosis
closure at the time of completion of the staged surgical treatment of
peritonitis.
Keywords:peritonitis; laparostomy; VAC-laparostomy
Funding. The study had no sponsor
support.
Conflict of interest. The authors
declare no conflict of interest.
For citation: Sazhin A.V., Ivakhov G.B.,
Titkova S.M., Teplykh A.V. Comparative evaluation of the effectiveness of
vacuum-assisted and traditional laparostomy in diffuse peritonitis. Clinical
and Experimental Surgery. Petrovsky Journal. 2023; 11 (4): 26–33. DOI:
https://doi.org/10.33029/2308-1198-2023-11-4-26-33 (in Russian)
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