research-focus Research Focus International Scientific Journal Research Focus 2181-3833 Ilm-fan va innovatsiyalar akademiyasi 10.66073/researchfocus.v5i2.2055 REL-A-013348 14.00.00 ON-DEMAND RELAPAROTOMY AND PROGRAMMED SANITIZATION IN THE TREATMENT OF WIDESPREAD PERITONITIS РЕЛАПАРОТОМИЯ ПО ТРЕБОВАНИЮ И ПРОГРАММИРОВАННАЯ САНАЦИЯ В ЛЕЧЕНИИ РАСПРОСТРАНЁННОГО ПЕРИТОНИТА TARQALGAN PERITONITNI DAVOLASHDA TALABGA KO‘RA RELAPAROTOMIYA VA DASTURLASHTIRILGAN SANATSIYA Djuraeva Zilola Aramovna Samarkand State Medical University and Termez Branch of Tashkent State Medical University Tokhirov Sheroz Mardonkulovich Samarkand State Medical University and Termez Branch of Tashkent State Medical University Mustafakulov Ishnazar Boynazarovich Samarkand State Medical University and Termez Branch of Tashkent State Medical University 05 03 2026 2026 5 2 203 207 https://creativecommons.org/licenses/by/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.

The choice of tactics for repeat surgical interventions for disseminated peritonitis remains a subject of debate. The aim of this study was to compare the effectiveness of on-demand relaparotomy and programmed debridement relaparotomies in patients with disseminated peritonitis. Clinical treatment outcomes, complication rates, and mortality were analyzed. It was found that an individualized approach using on-demand relaparotomy with dynamic clinical and laboratory monitoring reduces surgical trauma and the incidence of postoperative complications without increasing mortality.

Выбор тактики повторных хирургических вмешательств при распространённом перитоните остаётся предметом дискуссий. Целью исследования явилось сравнение эффективности релапаротомии «по требованию» и программированных санационных релапаротомий у больных с рас пространённым перитонитом. Проанализированы клинические результаты лечения, частота осложнений и летальность. / Установлено, что индивидуализированный подход с применением релапаротомии «по требованию» при динамическом клинико-лабораторном мониторинге позволяет снизить операционную травму и частоту послеоперационных осложнений без увеличения летальности.

Tarqalgan peritonitda qayta jarrohlik amaliyotlari taktikasini tanlash munozarali masala bo‘lib qolmoqda. Tadqiqotning maqsadi tarqalgan peritonit bilan og‘rigan bemorlarda «talabga ko‘ra» relaparotomiya va dasturlashtirilgan sanatsion relaparotomiyalar samaradorligini qiyosiy baholashdan iborat edi. Davolashning klinik natijalari, asoratlar chastotasi va o‘lim ko‘rsatkichlari tahlil qilindi. Dinamik klinik-laborator monitoring ostida «talabga ko‘ra» relaparotomiyani qo‘llash orqali individuallashtirilgan yondashuv operatsion jarohatni (travmani) va operatsiyadan keyingi asoratlar sonini o‘lim ko‘rsatkichini oshirmasdan kamaytirishga imkon berishi aniqlandi.

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