Topical issues of vacuum-assisted laparostomy in the treatment of widespread peritonitis
https://doi.org/10.17238/2072-3180-2023-3-9-16
Abstract
In recent years, the technology of vacuum-assisted laparostomy has become widespread in patients with peritonitis. Despite the high efficacy of using negative pressure in an open abdomen in patients with peritonitis, data on safety and efficacy have so far been limited. The introduction of a vacuum-assisted laparostomy evaluates an increase in the effectiveness of the results; however, the lack of standardization of this technology is an important drawback in assessing its effectiveness and safety. At the same time, research results published.
Study purpose. Systematization and analysis of current information substantiating the use of vacuum-assisted laparostomy in patients with peritonitis, identifying unresolved issues, identifying ways to prevent complications and standardize the technology.
The variety of negative pressure systems and the lack of a standardized algorithm for managing an open abdomen with negative pressure therapy in peritonitis are an important limitation in evaluating the efficacy and safety of this technology. The study of immediate outcomes and optimization of the technology of vacuum-assisted laparostomy in the treatment of peritonitis seems to be an urgent and important research task.
About the Authors
V. V. Bedin
Botkin City Clinical hospital of Department of Health of Moscow; Russian Medical Academy of Postgraduate Professional Education, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Vladimir V. Bedin – Doctor of medical Sciences, Professor of the Department of surgery of the Russian Medical Academy of Continuous Professional Education, Deputy chief physician (surgical department) of Botkin Hospital.
125284, st. 2nd Botkinsky proezd, 5, Moscow
D. D. Dolidze
Botkin City Clinical hospital of Department of Health of Moscow; Russian Medical Academy of Postgraduate Professional Education, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
David J. Dolidze – Doctor of Medical Sciences, Professor of the Department of Surgery of the Russian Medical Academy of Continuing Professional Education, Head of the Scientific and Clinical Department of the GKB. S.P. Botkin Department of Health of Moscow.
125284, st. 2nd Botkinsky proezd, 5, Moscow
A. A. Kolotilshchikov
Botkin City Clinical hospital of Department of Health of Moscow
Russian Federation
Russian Federation
Andrey A. Kolotilshchikov – PhD, Head of the Emergency Surgery Unit №76 of Botkin City Clinical hospital of Department of Health of Moscow.
125284, 2nd Botkin Passage, 5, Moscow
D. V. Shikov
Botkin City Clinical hospital of Department of Health of Moscow
Russian Federation
Russian Federation
Dmitry V. Shikov – Ph.D., Head of the Emergency Operational Unit №45 and Operational Unit №58 of Botkin City Clinical hospital of Department of Health of Moscow.
125284, 2nd Botkin Passage, 5, Moscow
M. Z. Eminov
Botkin City Clinical hospital of Department of Health of Moscow; Russian Medical Academy of Postgraduate Professional Education, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Makhir Z. Eminov – Ph.D., Associate professor at the Department of surgery of the Russian Medical Academy of Continuous Professional Education.
Leningradskoye highway, 106, Moscow, 125190
D. S. Bocharnikov
Botkin City Clinical hospital of Department of Health of Moscow
Russian Federation
Russian Federation
Dmitrii S. Bocharnikov – Head of the Department of Emergency Surgical Care No. 75 of Botkin Hospital.
125284, st. 2nd Botkinsky proezd, 5, Moscow
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For citations:
Bedin V.V., Dolidze D.D., Kolotilshchikov A.A., Shikov D.V., Eminov M.Z., Bocharnikov D.S. Topical issues of vacuum-assisted laparostomy in the treatment of widespread peritonitis. Moscow Surgical Journal. 2023;(3):9-16. (In Russ.) https://doi.org/10.17238/2072-3180-2023-3-9-16
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