COMMON PERITONITIS IN AIDS PATIENTS, SURGICAL INTERVENTION TACTICS AND EMERGING COMPLICATIONS

Darwin Vladimir Vasilyevich, Vasiliev Vasily Vasilyevich, Ayupov Adylkhan Temirkhanovich

The article discusses the tactics of surgical intervention and the complications that arise in the development of widespread peritonitis in patients with AIDS. This problem is currently one of the most urgent in modern abdominal surgery. This is due to the high level of deaths in the postoperative period. The study presents the theoretical and empirical part. A review of the literature data on the problem is carried out, the choice of surgical solutions is presented when examining those admitted to the hospital. A retrospective analysis of the medical history of 212 patients with widespread peritonitis complicated by the main diagnosis of AIDS was identified as the empirical basis of the study. The main complications after surgical intervention were identified, the outcomes of the disease were determined. As a result of the study, it was revealed that the severity of the postoperative condition with widespread peritonitis has a connection with the clinical, age and pathophysiological status. The factors of mortality of AIDS patients with the development of concomitant disease were identified, the most important among which were the condition at admission to the hospital, the nature of the spread of the septic process, concomitant organ dysfunction.

Keywords:AIDS, peritonitis, perforation, sepsis, tactics, death