LAPAROSTOMA IN TREATMENT OF WIDESPREAD PERITONITIS AS «DEMAGE CONTROL» PRINCIPLE

Abstract

The objective of research is to carry out a comparative assessment of efficiency of different types of surgical intraoperative tactics at treatment of patients with diffuse peritonitis at stages of delivery of health care. Materials and methods . 298 patients were imposed the controlled laparostoma at primary surgical intervention in connection with development of widespread peritonitis. Results and discussion . Among patients of the 1^st subgroup (n = 330) where the laparostoma on the firststa ge of treatment wasn’t applied, lethality made 31,2 ± 4,6% (103 dead), in the 2^nd group (n = 298) where laparostoma was imposed at once - 20,85 ± 5,20% (62 dead). Conclusions . Laparostoma in treatment of widespread peritonitis is an effective surgical intervention.