PREDICTION OF OUTCOMES AND CHOICE OF SURGICAL TACTICS IN DISSEMINATED PERITONITIS

PREDICTION OF OUTCOMES AND CHOICE OF SURGICAL TACTICS IN DISSEMINATED PERITONITIS Tokhirov Sheroz Mardonkulovich, Mustafakulov Ishnazar Boynazarovich, Djuraeva Zilola Aramovna Samarkand State Medical University and Termez Branch of Tashkent State Medical University https://doi.org/10.5281/zenodo.19093654 Abstract: Generalized peritonitis remains one of the most challenging problems in emergency abdominal surgery, associated with a high rate of postoperative complications and mortality. The aim of this study was to evaluate the prognostic value of integrated severity scales and to develop a differentiated approach to choosing a surgical strategy in patients with generalized peritonitis. Treatment outcomes were analyzed using the Mannheim Peritonitis Index (MPI), APACHE II, and SOFA scores. A comprehensive severity assessment was found to enable objective selection of indications for closed, semi-open, and open laparotomy completion, reduce unnecessary relaparotomies, and improve treatment outcomes. Keywords: disseminated peritonitis, prognosis, MPI, APACHE II, SOFA, surgical tactics.

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