Successful treatment of advanced purulent peritonitis. Clinical case
- Authors: Glukhov E.V.1, Davydov M.M.1,2, Filatov A.A.1, Shogenov M.S.1, Dementieva E.V.1
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Affiliations:
- Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
- I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
- Issue: Vol 3, No 1 (2023)
- Pages: 16-21
- Section: NEW APPROACHES AND SUCCESSES IN TREATMENT OF ONCOLOGICAL PATIENTS AT THE CURRENT STAGE
- Published: 14.03.2023
- URL: https://mdonco.abvpress.ru/jour/article/view/59
- DOI: https://doi.org/10.17650/2782-3202-2023-3-1-16-21
- ID: 59
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Full Text
Abstract
The advanced purulent peritonitis is one of the urgent problems in urgent surgery. The improvement of surgical research methods is one of important problem of nowadays surgery. The article presents a clinical case of effective treatment of peritonitis, abdominal sepsis in the context of ileotransverse anastomosis failure. Female patient with generalized fibrinous purulent peritonitis underwent surgical interventions using VAC system, damage control tactics.
About the authors
E. V. Glukhov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Author for correspondence.
Email: drgluhov@mail.ru
ORCID iD: 0000-0003-4108-9956
Evgeny Vyacheslavovich Glukhov
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
Russian FederationM. M. Davydov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
ORCID iD: 0000-0001-5038-9307
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
Bld. 2, 8 Trubetskaya St., Moscow 119991
Russian FederationA. A. Filatov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
Russian FederationM. S. Shogenov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
Russian FederationE. V. Dementieva
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
ORCID iD: 0000-0001-9361-6354
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081
Russian FederationReferences
- Hecker A., Reichert M., Reuß C.J. et al. Intra-abdominal sepsis: new definitions and current clinical standards. Langenbecks Arch Surg 2019;404(3):257–71. doi: 10.1007/s00423-019-01752-7
- Mandell, Douglas and Bannet’s Infectious Disease Essentials. Ed. by J.E. Bannet, R.Dolin, M.J. Blaser. Philadelphia, PA: Elsevier, 2017. 520 p.
- Sartelli M., Chichom-Mefire A., Labricciosa F.M. et al. The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections. World J Emerg Surg 2017;12:29. doi: 10.1186/s13017-017-0141-6
- Clements T.W., Tolonen M., Ball C.G., Kirkpatrick A.W. Secondary peritonitis and intra-abdominal sepsis: an increasingly global disease in search of better systemic therapies. Scand J Surg 2021;110(2):139–49. doi: 10.1177/1457496920984078
- Cecconi M., Evans L., Levy M., Rhodes A. Sepsis and septic shock. Lancet 2018;392(10141):75–87. doi: 10.1016/S0140-6736(18)30696-2
- Cheatham M.L., Malbrain M.L.N.G., Kirkpatrick A. et al. Results from the International Conference of Experts on Intra-Abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations. Intensive Care Med 2007;33(6):951–62. doi: 10.1007/s00134-007-0592-4
- Dellinger R.P., Levy M.M., Rhodes A. et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2012. Intensive Care Med 2013;39(2):165–228. doi: 10.1007/s00134-012-2769-8
- Malbrain M.L.N.G., Cheatham M.L., Kirkpatrick A. et al. Results from the International Conference of Experts on Intraabdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med 2006;32(11):1722–32. doi: 10.1007/s00134-006-0349-5
- Coccolini F., Biffl W., Catena F. et al. The open abdomen, indications management and definitive closure. World J Emerg Surg 2015;10: 32.
- Normandin S., Safran T., Winocour S. et al. Negative pressure wound therapy: mechanism of action and clinical applications. Semin Plast Surg 2021;5(3):164–70. doi: 10.1055/s-0041-1731792
- Beckman M., Paul J., Neideen T., Weigelt J.A. Role of the open abdomen in critically ill patients. Crit Care Clin 2016;32(2):255–64. doi: 10.1016/j.ccc.2015.12.003
- Coccolini F., Biffl W., Catena F. et al. The open abdomen, indications management and definitive closure. World J Emerg Surg 2015;10:32. doi: 10.1186/s13017-015-0026-5
- Weber D.G., Bendinelli C., balogh Z.J. Damage control surgery for abdominal emergencies. Br J Surg 2014;101(1):e109–18. doi: 10.1002/bjs.9360
- Kirkpatrick A.W., Roberts D.J., De Waele J. et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med 2013; 39(7):1190–206. doi: 10.1007/s00134-013-2906-z
- Sartelli M., Catena F., Di Saverio S. et al. Current concept of abdominal sepsis: WSES position paper. World J Emerg Surg 2014;9(1):22. doi: 10.1186/1749-7922-9-22
- Bleszynski M.S., Chan T., Buczkowski A.K. Open abdomen with negative pressure device vs primary abdominal closure for the management of surgical abdominal sepsis: a retrospective review. Am J Surg 2016;211(5):926–32. doi: 10.1016/j.amjsurg.2016.01.012
- Cristaudo A., Jennings S., Gunnarsson R., DeCosta A. Complications and mortality associated with temporary abdominal closure techniques: a systematic review and meta-analysis. Am Surg 2017;83(2):191–216.
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