Correction of intra-abdominal hypertension and the choice of the method of completion operations for advanced peritonitis

Bagdasarova Elena Anatolyevna, Eleev Alim Anatolyevich, Bagdasarov Valery Vartanovich

The article presents data on the effect of intraabdominal hypertension on the course of peritonitis; a comparative assessment of the traditional closed method of treatment and decompressive completion of the operation is presented. The results of treatment of severe forms of common peritonitis showed that the choice of prolonged decompression with program rehabilitation as an alternative to traditional surgical treatment at the very beginning significantly demonstrates the best indicators. In the traditional treatment (group 1), 16 (44.4%) died, and in the group with decompressive suturing of the laparotomous wound, 20 (21.7%) patients died. The overall mortality rate among 128 patients with advanced peritonitis was (28.1 %).

Keywords:generalized peritonitis, intra-abdominal pressure, intra-abdominal pressure, decompression of the abdominal cavity.