KẾT QUẢ SỚM ĐIỀU TRỊ VIÊM PHÚC MẠC SAU MỔ TIÊU HÓA

Abstract

Objective: To describe the clinical and paraclinical characteristics and early results of peritonitis treatment after gastrointestinal surgery. Research subjects and methods: Retrospective description of cases diagnosed with post-gastrointestinal peritonitis treated at Hanoi Medical University Hospital with internal medicine, interventional treatment, and surgical treatment from January 2021 to August 2022. Results: 33 patients with peritonitis after digestive surgery with the age over 50 predominating, accounting for 60.6%. Combined medical diseases are more common in patients with generalized peritonitis, occurring in 66.67% of cases. Peritonitis complications after digestive surgery are more common with localized peritonitis, accounting for 72.7%; Total peritonitis accounts for 27.3%. 41.7% of cases of localized peritonitis were treated by medically alone, 54.2% were treated with intervention (drainage under ultrasound guidance), 4.2% were treated with surgery; The case of surgical treatment is the case of gastrointestinal fistula. All of cases with total peritonitis are treated with surgery. Results of early treatment: no patient had early complications or death. Conclusion: Early diagnosis of peritonitis after gastrointestinal surgery is difficult, treatment of total peritonitis after gastrointestinal surgery is surgical treatment, treatment localized peritonitis after gastrointestinal surgery is mainly treated with intervention and therapy pure internal medicine