The choice of the medium sanation in the treatment of acute widespread purulent peritonitis by the method of laparostomy in combination with programmed of the abdominal cavity sanitation

V. V. Grubnik, O. I. Tkachenko, Y. M. Koshel, V. M. Kosovan, E. A. Koychev


The accumulated clinical experience and analysis of our own results of treatment of patients with severe forms of acute widespread purulent peritonitis, speaks about the growing urgency of this problem. The aim of this study was determination of the most optimal medium sanation during execution programs of the abdominal cavity sanitation in acute diffuse purulent peritonitis.

Was studied the treatment results of 79 patients with severe forms of acute widespread purulent peritonitis. After laparotomy and performing a biopsy was conducted qualitative and quantitative morphological study of the inflammatory process in the peritoneum on the background of the landmark of the abdominal cavity sanitation of  two groups of patients with acute widespread purulent peritonitis before and after carrying out the programmatic sanitation of the abdominal cavity, using a solution of octenidine dihydrochloride and saline solution.

In the result of study, authors came to the conclusion, that the application, as it seemed different sanation mediums do not affect on the basic morphometric parameters of the studied biopsies of the peritoneum after sanitation of abdominal cavity.

This confirms the theory of "mechanical purification" of the abdominal cavity, and sanitation of the abdominal cavity does not depend on the qualitative composition of the sanation medium.


diffuse purulent peritonitis, programmatic sanitation of abdominal cavity

Full Text:



Kazakov V.N. Polarizing microscopy in biology and medicine / V.N. Kazakov, V.G. Shlopov. – Donetsk : Kashtan, 2008. – 320 p. (In Russian).

Larichev A.B. Treatment of common postoperative peritonitis / А.B. Larichev, А.V. Volkov, А.Yu. Abramov // Rus. Med. J. - 2006. - N 1. - P. 8-12 (In Russian).

Savelyev V.S. Peritonitis: Manual / V.S. Savelyev, B.G.Gelfand, M.I. Filimonov [et al.]. – М : Litera, 2006. - 208 p. (In Russian).

Doklestić S.K. Secondary peritonitis - evaluation of 204 cases and literature review / S.K. Doklestić, D.D. Bajec, R.V. Djukić [et. al] // J. Med. Life. – 2014, Vol. 15, N 7(2). - P. 132-138.

Maseda E. Basis for selecting optimum antibiotic regimens for secondary peritonitis / E. Maseda, M.J. Gimenez, F. Gilsanz [et. al] // Expert Rev. Anti Infect. Ther. – 2016. – Vol. 14, N 1. – P.109-124.

Utzolino S. Postoperative sepsis: diagnosis, special features, management / S. Utzolino, U.T. Hopt, M. Kaffarnik // Zentralbl Chir. – 2010. – Vol. 135, N 3. - P. 240-248.



  • There are currently no refbacks.

Copyright (c) 2016 © The Author (s) 2016

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

POL-index 2011 - 2014

BASE 2011 - 2014

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

Find a library that holds this journal:

Journal Language(s): English 

PBN Poland



Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2 Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase


Universal Impact Factor 1.78 for year 2012. (

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ)

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski