Four groups

A total of 290 patients with purulent RP included in all four groups of study. The main purpose of the study was to evaluate the effectiveness of the primary (the first surgery for RSE) of the total intestinal intubation, peritoneal-enteral lavage and adequate drainage of the abdominal cavity as a single complex intra-operative measures in cases when they are absolutely shows. In each of the groups into separate subgroups identified patients whose method was not used and which method was used. Marker of treatment effectiveness was considered recovery of the patient. Indication to the above complex intraoperative events was considered the presence of RGP (in the group with postoperative peritonitis - postoperative NSE). In the group of patients whose treatment was carried out semi-closed method, summarizing the results excluded cases of gynecologic as cases in which testimony and intestinal decompression and enteral lavage are not certain.

The analysis yielded the following results: the application of methods for semi-enclosed method (mean preoperative score of APACHE II 14,0) mortality was 18.6%, with rejection of methods - 59,1%, with semi-open way of reference, providing for 100% use of the method, mortality was 25.9% (mean preoperative score of APACHE II 15,1). When the method was used for postoperative NSE, mortality was 15.4%, without the use of mortality (with a small number of observations) was 50.0%. In the group with a complicated course (mean preoperative score of APACHE II 16,1) mortality after application of the method was 59.1%, with rejection of the method - 33,3%. As seen from the results, the expected correlation is absent in the group with a complicated course. Apparently, this is due to the difference between the preoperative condition of the patient when the RSE is not always not always determine the absence of complications such as failure of the anastomosis of the gastrointestinal tract, occurring usually at 4-6 days after surgery. Of the 13 deceased patients, 7 (54%) developed anastomotic failure or necrosis of the hollow body; of the 15 survivors - only 3 have developed such complications (20%).

We determined the total performance indicator method of intestinal intubation and peritoneal-enteral brand viagra lavage (calculated mortality difference when applying the method without it). It is at the RSE 29.5%. Thus, if this type of peritoneal exudate method does not provide a warning most severe complications, but is primarily a component of detoxification.

baroreflex activity
safety
topical ointment
choice for correction
once a day