Tactical Approaches at the Perforative Peritonitis in the Neonates
Abstract
The outcomes of treatment of the neonates with perforative peritonitis for 20 years from 1992 to 2011 in the Pediatric Center RH№1-NCM MH RS (Y) are studied. The use of peritoneal drainage in the complex of measures of preoperative preparation of a patient allowed lengthening the time of preparation from 1.5 - 2 hours to 8 - 12 hours. In this case, there was the possibility of a more appropriate correction of fluid and electrolyte metabolic disorder, urine output restoration, reducing signs of infection and toxic shock, which helps to prevent serious complications of general peritonitis as multiple-organ-failure syndrome and disseminated intravascular coagulation syndrome. Over the study period neonatal mortality with perforative peritonitis decreased from 75% to 21%.
About the Authors
V. A. Savvina
Medical Institute, M.K. Ammosov North-Eastern Federal University, Surgery Department of Pediatric Centre, Republican Hospital №1, National Centre of Medicine
Russian Federation
Russian Federation
Yakutsk, the Republic Sakha (Yakutia)
A. R. Varfolomeyev
Medical Institute, M.K. Ammosov North-Eastern Federal University, Surgery Department of Pediatric Centre, Republican Hospital №1, National Centre of Medicine
Russian Federation
Russian Federation
Yakutsk, the Republic Sakha (Yakutia)
V. N. Nickolaev
Medical Institute, M.K. Ammosov North-Eastern Federal University, Surgery Department of Pediatric Centre, Republican Hospital №1, National Centre of Medicine
Russian Federation
Russian Federation
Yakutsk, the Republic Sakha (Yakutia)
A. Yu. Tarasov
Medical Institute, M.K. Ammosov North-Eastern Federal University, Surgery Department of Pediatric Centre, Republican Hospital №1, National Centre of Medicine
Russian Federation
Russian Federation
Yakutsk, the Republic Sakha (Yakutia)
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Review
For citations:
Savvina V.A., Varfolomeyev A.R., Nickolaev V.N., Tarasov A.Yu. Tactical Approaches at the Perforative Peritonitis in the Neonates. Yakut Medical Journal. 2013;(2):21-24.
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