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Journal of Education, Health and Sport

Prevention of postoperative peritonitis and its complications
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  • Prevention of postoperative peritonitis and its complications
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Prevention of postoperative peritonitis and its complications

Authors

  • M. M. Droniak Ivano-Frankivsk National Medical University

DOI:

https://doi.org/10.12775/JEHS.2021.11.02.019

Keywords

Postoperative peritonitis, lavage of the abdominal cavity

Abstract

Purpose: to develop a new method of lavage of the abdominal cavity in the experimental conditions.

Materials and methods. We treated 456 patients with postoperative peritonitis who were on treatment in the surgery department of the municipal non-profit enterprise Regional Clinical Hospital of Ivano-Frankivsk Regional Council in the period from 2000 to 2021. Patients are divided into 2 groups. The retrospective group consisted of 212 patients, prospective - 244 patients.

Research results and their discussion. The method of lavage of postoperative peritonitis was carried out as follows: during relaparotomy, after mechanical cleaning of the abdominal cavity from fecal masses, bile, blood clots, fibrin layers, the abdominal cavity washed twice with 2-3 l of 0.02% solution of decamethoxine at a temperature of 30-35 ° C. After removing the drug residues from the abdominal cavity, pour2 liters of solution for peritoneal dialysis Extranil at a temperature of370C, the active substance of which is icodextrin, not glucose, ie it is not a nutrient medium for microorganisms, but has antimicrobial action due to hyperosmolarity and exposure to hyperosmolarity and increases its adsorption properties. This is followed by drainage of the abdominal cavity from four points with polyvinyl chloride tubes, which are intimately fixed to the skin and blocked for 6 hours.

References

Alqami A, Augustin P, Snauwaert A, et al. Prognosis of bacteremic patients during postoperative peritonitis. Intensive Care Medicine Experimental. 2015; 3(1): A120.

Blot S, de Waele J, Vogelaers D. Essentials for Selecting Antimicrobial Therapy for Intra-Abdominal Infections. Drugs. 2012; 72(6): e17–e32.

Drăghici L, Drăghici I, Ungureanu A, et al. Laparoscopic surgery complications: Postoperative peritonitis. Journal of Medicine and Life. 2012; 5(3): 288–296.

Godínez-Vidal AR, Verónica RH, Montero-García PJ, Martínez-Martínez AR, Zavala-Castillo JC, Gracida-Mancilla NI. Evaluation of the serum procalcitonin level as an indicator of severity and mortality in abdominal sepsis due to secondary peritonitis. Cir Cir. 2019; 87(3):255-259.

Hecker A, Reichert M, Reuß CJ, Schmoch T, Riedel JG, Schneck E, et al. Intra-abdominal sepsis: new definitions and current clinical standards. Langenbecks Arch Surg. 2019; 404(3): 257-271.

Honoré C, Sourrouille I, Suria S, Chalumeau-Lemoine L, Dumont F, Goéré D, Elias D. Postoperative peritonitis without an underlying digestive fistula after complete cytoreductive surgery plus HIPEC. Saudi J Gastroenterol. 2013; 19(6):271-277.

Idiz UO, Aysan E, Firat D, Ercan C, Demirci S, Sahin F, Pak J. Effects of boric acid-linked ampicillin on the rat intra-abdominal sepsis model. Pharm Sci. 2019; 32(2): 477-481.

Iwagami M, Yasunaga H, Doi K, et al. Postoperative polymyxin B hemoperfusion and mortality in patients with abdominal septic shock: a propensity-matched analysis. Critical Care Medicine. 2014; 42: 1187–1193.

Karvellas CJ, Abraldes JG, Arabi YM, Kumar A. Appropriate and timely antimicrobial therapy in cirrhotic patients with spontaneous bacterial peritonitis-associated septic shock: a retrospective cohort study. Alimentary pharmacology & therapeutics. 2015; 41(8): 747-757.

Lock JF, Eckmann C, Germer CT. [Characteristics of postoperative peritonitis]. Chirurg. 2016; 87(1): 20-5.

Montravers P, Guglielminotti J, Zapella N, et al. Clinical Features and Outcome of Postoperative Peritonitis Following Bariatric Surgery. Obesity Surgery. 2013; 23: 1536-1544.

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Published

2021-02-26

How to Cite

1.
DRONIAK, M. M. Prevention of postoperative peritonitis and its complications. Journal of Education, Health and Sport. Online. 26 February 2021. Vol. 11, no. 2, pp. 192-199. [Accessed 2 July 2025]. DOI 10.12775/JEHS.2021.11.02.019.
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Issue

Vol. 11 No. 2 (2021)

Section

Research Articles

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The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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