TREATMENT OF PERITONITIS WITH POLYORGANIC INSUFFICIENCY

Comparison evaluation of the methods of treatment was based on the ana lysis of the results of management of 347 patients with general purule nt decompensated peritonitis with polyorganic insufficiency. The effic acy of closed drainage in 98 patients, continuous flow irrigation (dia lysis) in 126, stage programed irrigation and inspection of the abdomi nal cavity in 99, and open drainage in 24 patients was compared. The c auses of peritonitis were: complications after acute surgical diseases (in 156 cases), in planned operations (59), and in obstetrical and gy necological diseases (132). Most of the patients were brought to the c linic from other hospitals because of unsuccessful treatment of perito nitis and absence of means for performing hemodialysis and management of polyorganic insufficiency. The incidence of the last-named reached 71.0 to 91.0 % in the different groups of patients. In monotypic compl ex treatment, stage programed irrigation was marked by a much lesser n umber of abscesses and other complications and a lower mortality (20.2 %) as compared to flow irrigation (30.0 %, closed drainage (27.5 %), and open (laparostomy) treatment (37.5%. Despite the very serious cont ingent of patients, total mortality (27.0 %) in the application of the indicated methods was quite low.