THE FUNCTIONAL STATE OF THE CARDIAC AND RESPIRATORY SYSTEMS IN DIFFERENT DEBRIDEMENT METHODS OF THE ABDOMINAL CAVITY

Abstract

Adequate debridement of the abdominal cavity has primary importance in treatment of the patient with peritonitis. In inadequate cases, the problem of endotoxicosis arises that many organ systems are affected. The purpose of the study: to study the functional state of the heart and respiratory activity in using of the various planned debridement ways of the abdominal cavity. Depending on the surgical tactics, the patients were divided into 2 groups. The main group consisted of 45 (47.4%) patients, whom after primary laparotomy underwent laparoscopic debridement using an irrigation-aspiration method, followed by abdominal treatment with low-frequency ultrasound. The control group included 50 (52.6%) patients, whom were made programmed relaparotomies. As a result, it was noted that the patients of the main group had the best dynamics of decrease of the leukocytosis and leukocyte index of intoxication, and also normalization of cardiac activity was faster, therefore the technique can be recommended as the main selection