[Diagnosis and treatment of post-operative peritonitis and intra-abdominal abscess]

Abstract

Early diagnosis of post-operative infectious complications was established based on semiotic evaluation, SAPS-based analysis of severity of the disease, and results of ultrasound studies. SAPS analysis of functional disorders proved a reliable tool for diagnosis of peritonitis but less accurate for diagnosis of intra-abdominal abscess. Ultrasound revealed meaningful symptoms of infectious complications, such as the presence of free and confined fluids in the abdominal cavity, increased small intestine diameter, disturbed peristalsis. High diagnostic efficiency of laparoscopy permits it to be used to verify or turn down complication and thereby avoid repeated surgical intervention. The proposed approach made it possible to significantly accelerate diagnosis.