Optimization Of Tactics In The Treatment Of Peritonitis Of Obstetric And Gynecological Origin

Abstract

The authors analyzed the treatment results of 87 patients with obstetric and gynecological
peritonitis and the nature of complications in the postoperative period. All patients
underwent general clinical, biochemical studies and bacteriological examinations of
exudate from the abdominal cavity and various methods of treatment of peritonitis were
applied. 1 - a group of 32 patients with a traditional method of treatment, 2 - a group of 55
patients with ointment sanitation of the abdominal cavity in combination with Decasan
solution.
The use of water-soluble ointments and Decasan solution allowed to reduce the level of
microbial contamination of the abdominal cavity below the critical level on the 3rd day of
treatment, the number of intra-abdominal complications from 34.3% to 23.6%, mortality
from 25% to 11.8% and 74 , 7% maintain the reproductive functions of women, which
allows us to recognize this method as highly effective and recommend it for widespread
use in the treatment of peritonitis of obstetric and gynecological origin.