research-focus Research Focus International Scientific Journal Research Focus 2181-3833 Ilm-fan va innovatsiyalar akademiyasi 10.66073/researchfocus.v5i2.2067 REL-A-013354 14.00.00 PREDICTION OF OUTCOMES AND CHOICE OF SURGICAL TACTICS IN DISSEMINATED PERITONITIS ПРОГНОЗИРОВАНИЕ ИСХОДОВ И ВЫБОР ХИРУРГИЧЕСКОЙ ТАКТИКИ ПРИ РАСПРОСТРАНЁННОМ ПЕРИТОНИТЕ TARQALGAN PERITONITDA NATIJALARNI PROGNOZLASH VA XIRURGIK TAKTIKANI TANLASH Tokhirov Sheroz Mardonkulovich Samarkand State Medical University and Termez Branch of Tashkent State Medical University Mustafakulov Ishnazar Boynazarovich Djuraeva Zilola Aramovna 05 03 2026 2026 5 2 237 242 https://creativecommons.org/licenses/by/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.

Generalized peritonitis remains one of the most challenging problems in emergency abdominal surgery, associated with a high rate of postoperative complications and mortality. The aim of this study was to evaluate the prognostic value of integrated severity scales and to develop a differentiated approach to choosing a surgical strategy in patients with generalized peritonitis. Treatment outcomes were analyzed using the Mannheim Peritonitis Index (MPI), APACHE II, and SOFA scores. A comprehensive severity assessment was found to enable objective selection of indications for closed, semi-open, and open laparotomy completion, reduce unnecessary relaparotomies, and improve treatment outcomes.

Распространённый перитонит остаётся одной из наиболее сложных проблем экстренной абдоминальной хирургии, сопровождаясь высокой частотой послеоперационных осложнений и летальности. Целью исследования явилась оценка / прогностической значимости интегральных шкал тяжести состояния и разработка дифференцированного подхода к выбору хирургической такти ки у больных с распространённым перитонитом. Проанализированы результаты лечения пациентов с использованием шкал Mannheim Peritonitis Index (MPI), APACHE II и SOFA. Установлено, что комплексная оценка тяжести состояния позволяет объективизировать показания к закрытому, полуоткрытому и открытому способам завершения лапаротомии, снизить частоту необоснованных релапаротомий и улучшить исходы лечения.

Tarqalgan peritonit shoshilinch abdominal xirurgiyaning eng murakkab muammolaridan biri bo‘lib qolmoqda hamda operatsiyadan keyingi asoratlar va o‘lim ko‘rsatkichining (letallikning) yuqoriligi bilan tavsiflanadi. Tadqiqotning maqsadi holat og‘irligining integral shkalalari prognostik ahamiyatini baholash va tarqalgan peritonit bilan og‘rigan bemorlarda xirurgik taktikani tanlashga nisbatan tabaqalashtirilgan yondashuvni ishlab chiqishdan iborat bo‘ldi. Mannheim Peritonitis Index (MPI), APACHE II va SOFA shkalalaridan foydalangan holda bemorlarni davolash natijalari tahlil qilindi. Holat og‘irligini kompleks baholash laparotomiyani yakunlashning yopiq, yarim ochiq va ochiq usullariga bo‘lgan ko‘rsatmalarni obyektivlashtirish, asossiz relaparotomiyalar sonini kamaytirish va davolash natijalarini yaxshilash imkonini berishi aniqlandi.

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