PROGRAMMED LAPAROSCOPY IN THE OF DIFFUSE APPENDICULAR PERITONITIS TREATMENT OF CHILDREN.

OBJECTIVE

The aim: To analyze the implementation of programmed laparoscopy with the criteria definition for its termination in the treatment of diffuse appendicular peritonitis in children.

PATIENTS AND

METHODS

Materials and methods: Since 2017, the programmed laparoscopy in the treatment of diffuse appendicular peritonitis has been used in 28 children aged 1 to 16 years.

RESULTS

Results

The programmed laparoscopy allows assessing the dynamics of the intra-abdominal infectious-inflammatory process and monitoring the treatment effectiveness. The modified abdominal index (AI) was determined based on integrated assessment of degree and nature of abdominal organs` damage during the first and repeated surgeries, the modified abdominal index (AI) was determined. AI identified during the primary laparoscopic intervention ranged from 14 up to 22 points and on average it was 17.5 ± 1.3 points, during the programmed laparoscopy AI was from 3 to 11 points, on average it was 9.15 ± 1.48 points.

CONCLUSION

Conclusions

The programmed laparoscopy for diffuse peritonitis in children allows controlling the pathological process in the abdominal cavity and promptly eliminate intra-abdominal complications. Determination of AI allows objectifying the nature of the lesion and the dynamics of changes in the abdominal cavity.