mossjМосковский хирургический журналMoscow Surgical Journal2072-3180ООО «ПРОФИЛЬ – 2С»10.17238/issn2072-3180.2020.4.65-74mossj-436Research ArticleОБЗОРЫREVIEWSВАКУУМ-АССИСТИРОВАННАЯ ЛАПАРОСТОМИЯ В КОМПЛЕКСНОМ ЛЕЧЕНИИ РАСПРОСТРАНЕННОГО ПЕРИТОНИТА (ОБЗОР ЛИТЕРАТУРЫ)VACUUM-ASSISTED LAPAROSTOMY FOR THE COMPLEX TREATMENT OF DIFFUSE PERITONITIS (LITERATURE REVIEW)СажинА. В.SazhinA. V.

Сажин Александр Вячеславович — доктор медицинских наук, профессор, член-корреспондент РАН, заведующий кафедрой факультетской хирургии №1

117997, г. Москва, ул. Островитянова, д. 1

Sazhin Alexander Vyacheslavovich — doctor of Medicine, Professor, Corresponding Member Russian Academy of Sciences, Head of the Department of Faculty Surgery No. 1

117997, Moscow

sazhin-av@yandex.ruИваховГ. Б.IvakhovG. B.

Ивахов Георгий Богданович — кандидат медицинских наук, доцент кафедры факультетской хирургии №1

117997, г. Москва, ул. Островитянова, д. 1

Ivakhov Georgy Bogdanovich — associate Professor at the Department of Faculty Surgery No. 1

117997, Moscow

ivakhovsurg@yandex.ruТеплыхА. В.TeplykhA. V.

Теплых Андрей Валерьевич — аспирант кафедры факультетской хирургии №1

117997, г. Москва, ул. Островитянова, д. 1

Teplykh Andrei Valer’evich — postgraduate at the Department of Faculty Surgery No. 1

117997, Moscow

andrewteplykh@mail.ruКалининаА. А.KalininaA. A.

Калинина Александра Александровна — ординатор кафедры факультетской хирургии №1

117997, г. Москва, ул. Островитянова, д. 1

Kalinina Aleksandra Aleksandrovna — resident at the Department of Faculty Surgery No. 1

117997, Moscow

kalininasun@mail.ruФГБОУ ВО РНИМУ им. Н.И. Пирогова Минздрава РоссииРоссияPirogov Russian National Research Medical University (RNRMU)Russian Federation202009032021046574Copyright © Сажин А.В., Ивахов Г.Б., Теплых А.В., Калинина А.А., 20212021Сажин А.В., Ивахов Г.Б., Теплых А.В., Калинина А.А.Sazhin A.V., Ivakhov G.B., Teplykh A.V., Kalinina A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.mossj.ru/jour/article/view/436

Сохраняющиеся высокие цифры послеоперационной летальности при распространенном перитоните на фоне сепсиса и септического шока свидетельствуют не только о сложности проблемы, трудности её радикального решения на протяжении многих десятилетий, несмотря на современные достижения интенсивной терапии и хирургии, но и о необходимости дальнейшего поиска различных способов и тактических подходов при лечении данной категории пациентов.Клиническая эффективность использования тактик релапаротомии «по требованию» и «по программе» при распространенном перитоните остается не вполне определенной, нуждающейся в проведении клинических исследований высокого уровня доказательности. В литературе имеется крайне малое число исследований по сравнительной оценке эффективности вакуум-ассистированной (vacuum-assisted) лапаростомии (VAC-лапаростомии) и традиционной лапаростомии, что подтверждает актуальность данного литературного обзора.

The persisting high rate of postoperative mortality in cases of diffuse peritonitis with sepsis and septic shock demonstrate not only the complexity of the problem, the difficulty of its radical solution for many decades despite the modern achievements of intensive care and surgery and necessity for further search for various methods and approaches in treatment of this category of patients.The clinical effectiveness of the use of relaparotomy «on demand» and «on program» for diffuse peritonitis, remains not well defined, requiring clinical studies with high level of evidence. There are also an extremely small number of studies comparing the effectiveness of vacuum-assisted laparostomy (VAC-laparostomy) and conventional laparostomy.

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The authors declare that there are no conflicts of interest present.