The integrated approach to the prevention of the abdominal cavity adhesion with peritonitis (retrospective study)

The aim of the study was to evaluate the effectiveness of complex treatment of peritonitis, including laparoscopic interventions and physiotherapeutic methods, in the prevention of adhesive disease of the abdominal cavity.Methods: The treatment of 120 patients with peritonitis was analyzed. The main group consisted of 50 patients who underwent laparoscopic (closed) abdominal sanitation with the irrigation and aspiration apparatus, followed by low-frequency ultrasound treatment of the abdominal cavity with Mesogel. The control group (n = 70) included patients who used an open method for treating diffuse peritonitis-programmed relaparotomy. Patients were monitored blood levels, endogenous intoxication, microflora composition.results: application of the proposed combined method of treatment of patients with peritonitis leads to normalize the parameters of cardiac activity (pulse), respira- tory organs - the rate of respiration and temperature earlier in comparison with the another group...