[Provisional ileostomy as a treatment of postoperative purulent peritonitis].

Early elimination of functional bowel obstruction in postoperative diffuse purulent peritonitis (PDPP) is an important factor determining the outcomes of the disease. Nasogastrointestinal drainage used for this purpose is capable to adequately aspirate small bowel contents from the segments located at a distance not farther than 80-100 cm. In the majority of patients with PDPP, lacking of vital capacity of bowel wall as well as insufficiency of previously laid sutures were revealed, which forced a surgeon to resort to resection; in such cases the method of choice for decompression should be the application of terminal ileostomy. Ileostomy in patients with PDPP provides adequate decompression of the bowel. The optimal terms for elimination of ileostomy is 3-4 weeks postoperatively.