ON-DEMAND RELAPAROTOMY AND PROGRAMMED SANITIZATION IN THE TREATMENT OF WIDESPREAD PERITONITIS

ON-DEMAND RELAPAROTOMY AND PROGRAMMED SANITIZATION IN THE TREATMENT OF WIDESPREAD PERITONITIS Djuraeva Zilola Aramovna, Tokhirov Sheroz Mardonkulovich, Mustafakulov Ishnazar Boynazarovich Samarkand State Medical University and Termez Branch of Tashkent State Medical University https://doi.org/10.5281/zenodo.19093931 Abstract: The choice of tactics for repeat surgical interventions for disseminated peritonitis remains a subject of debate. The aim of this study was to compare the effectiveness of on-demand relaparotomy and programmed debridement relaparotomies in patients with disseminated peritonitis. Clinical treatment outcomes, complication rates, and mortality were analyzed. It was found that an individualized approach using on-demand relaparotomy with dynamic clinical and laboratory monitoring reduces surgical trauma and the incidence of postoperative complications without increasing mortality. Keywords: widespread peritonitis, relaparotomy, programmed sanation, abdominal sepsis, surgical tactics.

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