Endovideosurgical sanitations of the abdominal cavity in peritonitis: technical and tactical aspects

Despite the progress and successes of modern surgery, postoperative peritonitis remains a significant problem, the relevance of which has not decreased in recent years. The seriousness of the situation is indicated by the fact that sepsis, which develops in 41,778,3 of cases of postoperative peritonitis, contributes to an increase in mortality to 60 or more. Timely diagnosis and treatment of postoperative peritonitis currently continues to be a serious and not completely solved problem in abdominal surgery. According to domestic authors, the incidence of postoperative peritonitis reaches 79. According to domestic and foreign literature, even modern methods of instrumental diagnosis do not allow to confidently diagnose the progression of postoperative peritonitis, as a result of which 1625 of patients perform belated reoperations, and 0,67 of patients perform vain reoperations. The same clinical symptoms, for example, such as intestinal paresis, can occur both in the normal and pathological course of the postoperative period. Mortality in postoperative peritonitis reaches 2964. Currently, the results of diagnosis and treatment of patients with postoperative peritonitis have been significantly improved due to the introduction of endovideosurgical techniques, but still this issue remains unresolved.