Laparoscopic techniques in treatment of acute peritonitis


  • I.Yu. Polianskyi
  • P.V. Moroz
  • V.I. Moskaliuk
  • V.V. Andriiets
  • A.F. Grynchuk
Keywords: peritonitis, genetic research, predicting, laparoscopic technology

Abstract

The article shows the possibilities of laparoscopic technology in the treatment of 106 patients with different forms of peritonitis. The important role of interleukin 1β in the progression of inflammation in peritoneal cavity was shown and the dependence of its concentration in blood plasma from interleukin gene variant 1β 511 (С/T) was proved, which became the basis for the development of predicting method of peritonitis. It is shown that in most cases minimally invasive techniques allowed to remove the cause of peritonitis and to conduct effective sanitation and drainage of peritoneal cavity. The causes of conversions are shown in the article. According to the results of research the indications of laparotomic access interventions are expanded. The article describes the developed «second look» laparoscopic techniques of peritoneal cavity sanitation and shows the ways of improving of such sanitation efficacy.

References

1. Bondarev, R. V. & Selivanov, S. S. (2010). Vybor metoda posleoperacionnoj sanacii bryushnoj polosti u bolnyh s ostrym razlitym peritonitom oslozhnennym sepsisom. Suchasni medychni tekhnolohii, 1, 5–8. [in Russian].

2. Fajzullina, R. A., Ahmetov, I. I., Abdullina, E. V. & Arhipova, A. A. (2012). Vliyanie polimorfizma -511 T/S gena interlejkina 1b na razvitie i techenie hronicheskoj Helicobacter pylori-asociirovannoj patologii gastroduodenalnoj oblasti u detej. Voprosy detskoj dietologii, 10(2), 5–10. [in Russian].

3. Gadzhiev, N. Dzh. (2013). Rezultaty citokinoterapii v lechenii bolnyh s rasprostranennym peritonitom. Ukrainskyi zhurnal khirurhii, 1(20), 114–120. [in Russian].

4. Cygan, V. N., Ivanov, A. M. & Kamilova, T. A. (2010). Geneticheskij polimorfizm citokinov. Vestnik Rossijskoj voenno-medicinskoj akademii, 2(30), 211–219. [in Russian].

5. Hodlevskyi, A. I. & Savoliuk, S. I. (2015). Diahnostyka ta monitorynh endotoksykozu u khirurhichnykh khvorykh. Vinnytsia: Nova knyha. [in Ukrainian].

6. Duzhyi, I. D., Kravets, O. V. & Piatykop, H. I. (2013). Dynamika kliniko-laboratornykh pokaznykiv endohennoi intoksykatsii u khvorykh z poshyrenym perytonitom. Visnyk Ukrainskoi medychnoi stomatolohichnoi akademii, 13, 1(41), 93–95. [in Ukrainian].

7. Polianskyi, I. Yu., Hrynchuk, F. V. & Andriiets, V. V. (2012). Klasyfikatsiia hostroho perytonitu. Klinichna anatomiia ta operatyvna khirurhiia, 11(2), 68–70. [in Ukrainian].

8. Polianskyi, I. Yu. & Hrynchuk, F. V. (2009). Laparoskopichni operatyvni vtruchannia pry hostrykh khirurhichnykh zakhvoriuvanniakh u patsiientiv iz suputnoiu patolohiieiu. Praktychna medytsyna, 9(1), 56–58. [in Ukrainian].

9. Polianskyi, I. Yu. (2008). Likuvalna taktyka u khvorykh na hostryi perytonit. Shpytalna khirurhiia, 8, 12–14. [in Ukrainian].

10. Polianskyi, I. Yu. (2008). Novi pidkhody do likuvannia khvorykh na hostryi perytonit. Acta Medisa Leoroliensia Lvivskyi medychnyi chasopys, 14(3), 97–99. [in Ukrainian].

11. Ivanov, V. P., Polonikov, A. V. & Belugin, D. A. (2012). Association of a promoter -511C/T polymorphism of the interleukin-1β gene with susceptibility to duodenal ulcer disease in Russians of Central-Chernozem region of Russia. HGVS scientific meeting. Kyoto, Japan.

12. Guillame, R. & Bennet, A. (2011). Septic peritonitis: Treatment and prognosis. Critical care, 1(1), 1186–1195.
Published
2017-09-29
How to Cite
Polianskyi, I., Moroz, P., Moskaliuk, V., Andriiets, V., & Grynchuk, A. (2017). Laparoscopic techniques in treatment of acute peritonitis. Reports of Vinnytsia National Medical University, 21(1(1), 38-42. Retrieved from https://reports-vnmedical.com.ua/index.php/journal/article/view/70