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Laparoscopic sanitation of the abdominal cavity in combined treatment of peritonitis

Malkov, I.S.; Shaĭmardanov, R.S.; Zaĭnutdinov, A.M.; Birial'tsev, V.N.; Lustina, N.I.

Khirurgiia 6: 30-33

2002

ISSN/ISBN: 0023-1207
PMID: 12109182
Document Number: 541646
Standard methods of treatment were analyzed in 228 patients with general peritonitis of different etiology: sanitation and drainage of abdominal cavity, peritoneal lavage, programmed laparotomy compared with laparoscopic sanitation (LS) performed in 60 patients. A significant decrease in the number of purulent-inflammatory complications, intestinal fistulas and broncho-pulmonary complications were seen after LS. It was most effective for treatment of peritonitis with Mannheim peritoneal index from 16 to 29 points (lethality 11.8%) compared with conventional treatment (p < 0.05). Indications and contraindications for LS, original device "BRUSAN" were developed. Abdominal LS is a highly effective and mini-invasive method of local treatment in general peritonitis.

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