Twenty year experience in the treatment of peritonitis, multiple organ dysfunction syndrome in perforative ulcers

The results of treatment of 573 patients, operated on the clinic for the period from 1981 to 2000 year for perforative gastroduodenal ulcer were analyzed. In 24 (4.2%) of them the necessity of relaparotomy performance for peritonitis, polyorgan insufficiency had occurred. In all patients complex int...

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Published inKlinična hìrurgìâ (Kiïv) no. 10; p. 9
Main Authors Verkhuletskiĭ, I E, Papazov, F K, Medvedenko, A F, Piliugin, G G, Osipov, A G
Format Journal Article
LanguageRussian
Published Ukraine 01.10.2003
Subjects
Aged
Female
Humans
Laparotomy - methods
Male
Middle Aged
Multiple Organ Failure - epidemiology
Multiple Organ Failure - surgery
Multiple Organ Failure - therapy
Peptic Ulcer - epidemiology
Peptic Ulcer - surgery
Peptic Ulcer - therapy
Peptic Ulcer Perforation - epidemiology
Peptic Ulcer Perforation - surgery
Peptic Ulcer Perforation - therapy
Peritoneal Dialysis, Continuous Ambulatory - methods
Peritonitis - epidemiology
Peritonitis - surgery
Peritonitis - therapy
Plasmapheresis - methods
Retrospective Studies
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Summary:The results of treatment of 573 patients, operated on the clinic for the period from 1981 to 2000 year for perforative gastroduodenal ulcer were analyzed. In 24 (4.2%) of them the necessity of relaparotomy performance for peritonitis, polyorgan insufficiency had occurred. In all patients complex intensive therapy, intestinal decompression, flowing peritoneal dialysis were conducted, in 10--the governed laparotomy. In 9 patients plasmapheresis was performed, in 8--drainage of ductus thoracicus with lymphosorption, in 7--xenosorption. Application of complex treatment equally with active detoxication in patients with peritonitis, polyorgan insufficiency have allowed to achieve recovery in 66.6% of them.
ISSN:0023-2130