Generalized Peritonitis Strategy Score: concept of creation and development of a new score for surgical stratification of patients with generalized peritonitis
https://doi.org/10.17238/2072-3180-2024-4-58-66
Abstract
The continuing high postoperative mortality rate in advanced peritonitis complicated of sepsis and septic shock indicate not only the complexity of the problem, the difficulty of its radical solution for many decades, despite modern achievements in intensive care and surgery, but also the need for further search for various methods and strategic approaches in the treatment of this category of patients. To date, there are still no clear criteria for the use of one or another surgical strategy for the treatment of peritonitis. Many prognostic scores are mainly aimed to assess the risk of mortality and are characterized by complex calculations with the determination of a large number of parameters.
Introduction. Assessing the severity of peritonitis is a difficult task that carries a certain layer of subjectivity, multiplied by the experience of the surgeon and the severity of the patient's condition with peritonitis. The score for peritonitis helps the surgeon in deciding on the choice of treatment strategy for a patient with peritonitis.
The purpose of the study. An attempt to create a new stratification scale for patients with advanced peritonitis to select the type of access and subsequent patient management strategy.
Materials and methods of research. A retrospective analysis of 634 patients with advanced peritonitis for the period 2011–2019.
The results of the treatment. The Generalized Peritonitis Strategy Score for advanced peritonitis has been developed.
Conclusion. The Generalized Peritonitis Strategy Score for advanced peritonitis demonstrates the potential in predicting not only the level of postoperative mortality, but also the choice of surgical intervention access and subsequent surgical management strategy for patients with advanced peritonitis.
About the Authors
G. B. Ivakhov
Pirogov Russian National Research Medical University (RNRMU);
GBUZ GKB № 1 named after N.I. Pirogov DZM
Russian Federation
Russian Federation
Ivakhov Georgy Bogdanovich – MD, Professor of the Department of Facultative Surgery № 1,
1 Ostrovityanova str., Moscow, 117997
S. M. Titkova
Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Titkova Svetlana Mikhailovna – senior researcher of the Experimental Surgery Department,
1 Ostrovityanova str., Moscow, 117997
K. M. Loban
Pirogov Russian National Research Medical University (RNRMU);
GBUZ GKB № 1 named after N.I. Pirogov DZM
Russian Federation
Russian Federation
Loban Konstantin Mikhailovich – PhD. Assistant of the Department of Faculty Surgery № 1,
1 Ostrovityanova str., Moscow, 117997
A. V. Teplykh
Pirogov Russian National Research Medical University (RNRMU);
GBUZ GKB № 1 named after N.I. Pirogov DZM
Russian Federation
Russian Federation
Teplykh Andrey Valeryevich – assistant of the Department of Faculty Surgery № 1,
1 Ostrovityanova str., Moscow, 117997
A. V. Teplyshev
Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Teplyshev Andrey Vladimirovich – emergency surgeon,
1 Ostrovityanova str., Moscow, 117997
A. V. Sazhin
Pirogov Russian National Research Medical University (RNRMU);
GBUZ GKB № 1 named after N.I. Pirogov DZM
Russian Federation
Russian Federation
Sazhin Alexander Vyacheslavovich – MD, Professor, Corresponding Member of the Russian Academy of Sciences, Head of the Department of Faculty Surgery № 1, Director of the clinic, Head of the Department of Faculty Surgery № 1,
1 Ostrovityanova str., Moscow, 117997
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Review
For citations:
Ivakhov G.B., Titkova S.M., Loban K.M., Teplykh A.V., Teplyshev A.V., Sazhin A.V. Generalized Peritonitis Strategy Score: concept of creation and development of a new score for surgical stratification of patients with generalized peritonitis. Moscow Surgical Journal. 2024;(4):58-66. (In Russ.) https://doi.org/10.17238/2072-3180-2024-4-58-66
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