The acute peritonitis treatment optimizing in early postoperative period

The Objective was to evaluate the effectiveness of original physiotherapeutic methods in the treatment of patients with acute spread purulent peritonitis.Methods and Materials. We done a treatment approach analysis of 72 patients with peritonitis after programmed sanitation of the abdominal cavity....

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Main Authors: E. K. Dzidzava, A. P. Vlasov, O. V. Markin, I. V. Fedoseykin, I. V. Gluchova, O. V. Revva, A. N. Shukshin
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2021-01-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/1518
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author E. K. Dzidzava
A. P. Vlasov
O. V. Markin
I. V. Fedoseykin
I. V. Gluchova
O. V. Revva
A. N. Shukshin
author_facet E. K. Dzidzava
A. P. Vlasov
O. V. Markin
I. V. Fedoseykin
I. V. Gluchova
O. V. Revva
A. N. Shukshin
author_sort E. K. Dzidzava
collection DOAJ
description The Objective was to evaluate the effectiveness of original physiotherapeutic methods in the treatment of patients with acute spread purulent peritonitis.Methods and Materials. We done a treatment approach analysis of 72 patients with peritonitis after programmed sanitation of the abdominal cavity. The control group included 42 patients with standardized treatment regimen. The main group consisted of 35 patients. Their treatment included low-intensity laser radiation of the abdominal cavity, electrical stimulation of the duodenum according to the original methods. We evaluated dynamic changes of the blood parameters, endogenous intoxication markers, the functional status of the liver, kidneys, and intestines.Results. The use of original physiotherapeutic methods in the treatment of patients with acute peritonitis leads to a significant improvement in clinical and laboratory data. The functional status of the liver, kidneys and intestine restored rapidly. Mortality rate decreased from 28.7 to 17.1 % (χ2=1.392, p=0.238), hospital stay decreased by 5.7 hospital days (p<0.05).Conclusion. The treatment regimen for severe peritonitis leads to a relatively rapid relief of the inflammatory process in the abdominal cavity, as well as the restoration of the functional status of the liver, kidneys and intestine. It largely determines the correction of homeostatic indicators, including reducing the severity of endogenous intoxication.
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series Вестник хирургии имени И.И. Грекова
spelling doaj-art-997e5f92568c4ac1b350319f52d4bbf62025-08-20T03:02:29ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252021-01-011795576210.24884/0042-4625-2020-179-5-57-621218The acute peritonitis treatment optimizing in early postoperative periodE. K. Dzidzava0A. P. Vlasov1O. V. Markin2I. V. Fedoseykin3I. V. Gluchova4O. V. Revva5A. N. Shukshin6Central HospitalNational Research Ogarev Mordovia State UniversityNational Research Ogarev Mordovia State UniversityI. M. Sechenov First Moscow State Medical UniversityNational Research Ogarev Mordovia State University OgarevaNational Research Ogarev Mordovia State UniversityNational Research Ogarev Mordovia State UniversityThe Objective was to evaluate the effectiveness of original physiotherapeutic methods in the treatment of patients with acute spread purulent peritonitis.Methods and Materials. We done a treatment approach analysis of 72 patients with peritonitis after programmed sanitation of the abdominal cavity. The control group included 42 patients with standardized treatment regimen. The main group consisted of 35 patients. Their treatment included low-intensity laser radiation of the abdominal cavity, electrical stimulation of the duodenum according to the original methods. We evaluated dynamic changes of the blood parameters, endogenous intoxication markers, the functional status of the liver, kidneys, and intestines.Results. The use of original physiotherapeutic methods in the treatment of patients with acute peritonitis leads to a significant improvement in clinical and laboratory data. The functional status of the liver, kidneys and intestine restored rapidly. Mortality rate decreased from 28.7 to 17.1 % (χ2=1.392, p=0.238), hospital stay decreased by 5.7 hospital days (p<0.05).Conclusion. The treatment regimen for severe peritonitis leads to a relatively rapid relief of the inflammatory process in the abdominal cavity, as well as the restoration of the functional status of the liver, kidneys and intestine. It largely determines the correction of homeostatic indicators, including reducing the severity of endogenous intoxication.https://www.vestnik-grekova.ru/jour/article/view/1518peritonitisendogenous intoxicationphysiotherapyliverintestines
spellingShingle E. K. Dzidzava
A. P. Vlasov
O. V. Markin
I. V. Fedoseykin
I. V. Gluchova
O. V. Revva
A. N. Shukshin
The acute peritonitis treatment optimizing in early postoperative period
Вестник хирургии имени И.И. Грекова
peritonitis
endogenous intoxication
physiotherapy
liver
intestines
title The acute peritonitis treatment optimizing in early postoperative period
title_full The acute peritonitis treatment optimizing in early postoperative period
title_fullStr The acute peritonitis treatment optimizing in early postoperative period
title_full_unstemmed The acute peritonitis treatment optimizing in early postoperative period
title_short The acute peritonitis treatment optimizing in early postoperative period
title_sort acute peritonitis treatment optimizing in early postoperative period
topic peritonitis
endogenous intoxication
physiotherapy
liver
intestines
url https://www.vestnik-grekova.ru/jour/article/view/1518
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