Isaev G B, Guse'inov S A, Ragimova A M, Alieva E A
Khirurgiia (Mosk). 2000(1):25-7.
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.
早期消除术后弥漫性化脓性腹膜炎（PDPP）中的功能性肠梗阻是决定该疾病预后的重要因素。用于此目的的鼻胃肠引流能够充分抽吸距离不超过80 - 100 cm肠段的小肠内容物。在大多数PDPP患者中，发现肠壁活力不足以及先前缝合处存在缺陷，这迫使外科医生采取切除手术；在这种情况下，减压的首选方法应是应用末端回肠造口术。PDPP患者的回肠造口术可使肠道得到充分减压。回肠造口术的最佳拆除时间是术后3 - 4周。
