VACUUM-ASSISTED LAPAROSTOMY FOR THE COMPLEX TREATMENT OF DIFFUSE PERITONITIS (LITERATURE REVIEW)
https://doi.org/10.17238/issn2072-3180.2020.4.65-74
Abstract
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.
About the Authors
A. V. Sazhin
Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Sazhin Alexander Vyacheslavovich — doctor of Medicine, Professor, Corresponding Member Russian Academy of Sciences, Head of the Department of Faculty Surgery No. 1
117997, Moscow
G. B. Ivakhov
Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Ivakhov Georgy Bogdanovich — associate Professor at the Department of Faculty Surgery No. 1
117997, Moscow
A. V. Teplykh
Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Teplykh Andrei Valer’evich — postgraduate at the Department of Faculty Surgery No. 1
117997, Moscow
A. A. Kalinina
Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Kalinina Aleksandra Aleksandrovna — resident at the Department of Faculty Surgery No. 1
117997, Moscow
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Sazhin A.V., Ivakhov G.B., Teplykh A.V., Kalinina A.A. VACUUM-ASSISTED LAPAROSTOMY FOR THE COMPLEX TREATMENT OF DIFFUSE PERITONITIS (LITERATURE REVIEW). Moscow Surgical Journal. 2020;(4):65-74. (In Russ.) https://doi.org/10.17238/issn2072-3180.2020.4.65-74
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