Clinical and morphological analysis of the prevalence and duration of peritonitis

Abstract

Aim. To analyze the tactics and method of treatment, indications for surgery in case of peritonitis, its type and
volume, as well as the morphological characteristics of the peritoneum.
Material and methods. The study was carried out on 1878 patients treated in the surgical department of the
Tashkent city 4-th clinics hospital named by I. Irgashev for one (2021) calendar year. In this study applied diagnostic (clinical, instrumental and biopsy morphology), therapeutic (operative and conservative), as well as
statistical methods also a comparative analysis of the obtained results was carried out.
Results. The following pathologies became the causes of peritonitis in the examined patients: acute appendicitis – 44%; perforated ulcer of the stomach and duodenum – 26%; pancreatic necrosis – 6%; injuries of the
abdominal cavity and retroperitoneal space organs – 9.6%; GBS (acute phlegmonous-calculous cholecystitis,
choledocholithiasis, gallbladder empyema) – 6.4%; strangulated hernia (inguinal, femoral, postoperative) –
3.2%; acute intestinal obstruction (adhesive, intestinal volvulus) – 1.6%; pancreatic tumor – 1.6%; mesenteric
thrombosis – 1.6%. The interpretation of clinical and morphological results allows to choose a reasonable pathogenetic approached method and the correct choice of a treatment method.
Conclusion. The choice of the method and volume of surgical intervention, based on the clinical course of peritonitis, the duration and prevalence of the inflammatory process, as well as the nature of the corresponding
reactions of the morphological structures of the peritoneum, allows increasing the effectiveness of treatment.