Abscesses and infiltrates of the abdominal cavity, surgical treatment


Purpose of the work. improving the results of surgical treatment of patients with primary intra-abdominal infiltrates and abscesses.

Material and methods. From 2006 to 2019, 191 patients with primary intra-abdominal infiltrates and abscesses were treated. The patients' age ranged from 16 to 85 years. There were 96 male patients (50.26%), 95 female patients (49.74%).

Results. The patients were divided into 3 subgroups depending on the underlying disease. The first group included 74 (38.74%) patients with destructive appendicitis, of which 39 (20.42%) were in the control group, and 35 (18.32%) were studied. The second group included 48 (25.13%) patients suffering from perforated gastric ulcer and 12 duodenal ulcer, of which the control group was 26 (13.61%), and the studied group was 22 (11.52%). The third group included 69 (36.13%) patients with cholecystitis, of which 37 (19.37%) were in the control group, and 32 (16.76%) were studied. All patients were operated on.

Conclusions. Surgical treatment is individualized depending on the disease, so with destructive appendicitis from 74 (38.74%) laparotomic in 42 (21.99%), laparoscopic in 32 (16.75%), and in 12 (6.28%) with conversion; perforated gastric ulcer and 12 duodenal ulcer in 48 (25.13%) open laparotomy; with cholecystitis from 69 (36.13%) in 48 (25.13%) laparotomic and in 21 (11.00%) laparoscopically. The use of water-jet technologies in 64 (33.51%) patients made it possible to minimize damage to the serous membrane and cleanse the peritoneum from acquired formations.


Acute appendicitis. (2016) Unified clinical protocol of emergency, primary and secondary (specialized) medical care. Ministry of Health of Ukraine. Kyiv, 2016. 75 p.

Demyanova V.N. (2015) Optimization of minimally invasive methods of treatment of intra-abdominal abscesses. author's abstract…of Ph.D.: 14.01.17 - Stavropol Surgery – 2015. 25 p.

Dolimov K.S., Ilkhamov F.A. (2014) Gallbladder infiltrate. Tashkent Pediatric Medical Institute of the Republic of Uzbekistan // Clinical Surgery. 2014;3:23-24.

Zaremba E.H., Zaremba V.S., Rak N.A., Girniak A.T., Zaremba O.V., Burmay S.V. (2020) Perivesical gallbladder infiltrate with extension to the subhepatic space (a clinical case). Practicing Physician. 2020;3-4:10-15.

Rybalchenko V.F., Demidenko Yu.G. (2019) Thermometric panel of the anterior abdominal wall and prognostic axillary pain factor. / Neonatology, Surgery, and Perinatal Medicine. 2019. т.IX, No. 3.-С.86-94. Doi:

Skyba V.V., Rybalchenko V.F., Ivanko O.V., Demidenko Yu.G., Badakh V.M., Bocharov V.P. (2017) Surgical treatment of inflammatory and adhesive processes of the abdominal cavity in adolescents using a water-jet scalpel. // Child Health2017.volume. 12. No.1., p. 68-74.

Fomin D., Usenko A.Yu., Bereznitskii Y.S. (2018) Emergency surgery of abdominal cavity organs (organization standards and professionally oriented algorithms of medical care). Kyiv: Library "Health of Ukraine", 2018. – 354 p.

Antoniou SA, Mavridis D, Hajibandeh S, et al. (2017) Optimal stump management in laparoscopic appendectomy: A network meta-analysis by the Minimally Invasive Surgery Synthesis of Interventions and Outcomes Network. Surgery. 2017;162:994–1005. DOI: 10.1016/j.surg.2017.07.013

Campanile FC, Pisano M, Coccolini F, et al. (2014) Acute cholecystitis: WSES position statement. World J Emerg Surg. 2014;9(1):1–6. DOI

Di Saverio et al. (2020) Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World Journal of Emergency Surgery (2020) 15:27

Diamantis T, Kontos M, Arvelakis A, et al. (2006) Comparison of monopolar electrocoagulation, bipolar electrocoagulation, Ultracision, and Ligasure. Surg Today. 2006;36:908–13.

Duke E, Kalb B, Arif-Tiwari H, et al. (2016) A systematic review and meta-analysis of diagnostic performance of MRI for evaluation of acute appendicitis. Am J Roentgenol. 2016;206:508–17.

Elshaer M, Gravante G, Thomas K, Sorge R, Al-Hamali S, Ebdewi H. (2015) Subtotal cholecystectomy for “Difficult gallbladders”: Systematic review and meta-analysis. JAMA Surg. 2015;150(2):159–68.

Grassi R, Romano S, Pinto A, Romano L. (2004) Gastro-duodenal perforations: conventional plain film, US and CT findings in 166 consecutive patients. Eur J Radiol. 2004;50:30–6.

Gurusamy K, Giljaca V, Takwoingi Y, et al. (2015) Ultrasound versus liver function tests for diagnosis of common bile duct stones. Cochrane Database Syst Rev. 2015;2:CD011548.

Hussain A. (2011) Difficult laparoscopic cholecystectomy: Current evidence and strategies of management. Surg Laparosc Endosc Percutaneous Tech. 2011;21(4):211–7.

Kimura Y, Takada T, Strasberg SM, et al. (2013) TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2013;20(1):8–23.

Lee FY, Leung KL, Lai PB, Lau JW. (2001) Selection of patients for laparoscopic repair of perforated peptic ulcer. Br J Surg. 2001;88:133–6.

Lin BC, Liao CH, Wang SY, Hwang TL. (2017) Laparoscopic repair of perforated peptic ulcer: simple closure versus omentopexy. J Surg Res. 2017;220:341–5.

Massimo Sartelli, Alain Chichom-Mefire, Fausto Catena. (2017) The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections. World Journal of Emergency Surgery volume 12, Article number: 29 (2017), 12:36

Matthew Fields J, Davis J, Alsup C, et al. (2017) Accuracy of point-of-care ultrasonography for diagnosing acute appendicitis: a systematic review and meta-analysis. Acad Emerg Med. 2017;24:1124–36.

Pisano, M., Allievi, N., Gurusamy, K. et al. (2020) 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. World J Emerg Surg 15, 61 (2020).

Pogorelić Z, Katić J, Mrklić I, et al. (2017) Lateral thermal damage of mesoappendix and appendiceal base during laparoscopic appendectomy in children: comparison of the harmonic scalpel (Ultracision), bipolar coagulation (LigaSure), and thermal fusion technology (MiSeal). J Surg Res. 2017;212: 101–7.

Qian D, He Z, Hua J, et al. (2015) Stump invagination versus simple ligation in open appendicectomy: a systematic review and meta-analysis. Int Surg. 2015;100:1199–206.

Ramon R. Gorter, Hasan H. Eker, Jaap Bonjer. (2015) Diagnosis and management of acute appendicitis. EAES consensus development conference 2015. Surgical Endoscopy volume 30, pages 4668–4690 (2016)

Schlottmann F, Reino R, Sadava EE, et al. (2016) Could an abdominal drainage be avoided in complicated acute appendicitis? Lessons learned after 1300 laparoscopic appendectomies. Int J Surg. 2016;36:40–3.

Schmidt M, Sondenaa KVM, et al. (2011) Long-term follow-up of a randomized controlled trial of observation versus surgery for acute cholecystitis: non-operative management is an option in some patients. Scand J Gastroenterol. 2011;46:1257–62.

Schweitzer L, Geisler C, Pourhassan M, et al. (2016) Estimation of Skeletal Muscle Mass and Visceral Adipose Tissue Volume by a Single Magnetic Resonance Imaging Slice in Healthy Elderly Adults. J Nutr. 2016;146(10):2143–8.

Soreide K, Thorsen K, Soreide JA. (2014) Strategies to improve the outcome of emergency surgery for perforated peptic ulcer. Br J Surg. 2014;101:e51–64.

Tarasconi, A., Coccolini, F., Biffl, W.L. et al. (2020) Perforated and bleeding peptic ulcer: WSES guidelines. World J Emerg Surg 15, 3 (2020).

Wright GP, Mitchell EJ, McClure AM, et al. (2015) Comparison of stapling techniques and management of the mesoappendix in laparoscopic appendectomy. Surg Laparosc Endosc Percutan Tech. 2015; 25: e11–5. doi: 10.1097/SLE.0000000000000040.

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