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Khirurgii

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Year 2010 Vol. 18 No 6

NEUROSURGERY

TSITKO E.L., SMEYANOVICH A.F.

NEUROSONOGRAPHY IN THE BRAIN ABSCESS SURGERY

Objectives. To study the lethality rate in case of peritonitis after the abdominal oncologic surgeries and to determine main causes of different outcomes of the postoperative peritonitis.
Methods. 125 patients with the postoperative peritonitis developed after abdominal surgeries were included in the investigation; the lethality rate and causes of different outcomes of a complication were studied. The interventions because of peritonitis are stratified into radical and non-radical surgeries.
Results. Peritonitis outcome is determined by the tumor localization, kind of oncologic surgery, direct cause of a complication and possibilities to eliminate the infection. In 42, 4% of the patients a surgical sanitation was non- radical one. The lethality rate at non-radical elimination of the peritonitis focus was higher (р<0,001) than at radical sanitation. More frequent causes of peritonitis which can’t be corrected by means of radical surgery were infected pancreatonecrosis and esophageal-intestinal anastomosis failure.
Conclusion. Timely diagnostics of the postoperative peritonitis and adequately performed sanitation intervention permit to increase specific gravity of all radical sanitations and thus to improve direct results of treatment at the abdominal oncologic pathology.

Keywords: oncologic patients, postoperative peritonitis, radicalism of surgical sanitation, lethality rate
p. 66 – 74 of the original issue
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