[Intestinal stomas and internal splinting of the intestine in the combined treatment of peritonitis and ileus]. / Chrevnite stomi i vutreshnoto shinirane na chervata v kompleksnoto lechenie na peritonit-ileusa.

Personal experience with the operative management of 28 patients presenting acute purulent peritonitis with ensuing ileus using a complex approach, based on total "internal" splinting of the small intestine, is shared. The 4-channel sound, designed and constructed in the clinic for intubation and simultaneous lavage of the small intestine, promotes effective staged evacuation of the toxic content from the disconnected bowel segments. What is more, a possibility is created for the formation of controlled adhesions between the intestinal loops. The significant clinical effect of bowel intubation in conjunction with adequate peritoneal cavity lavage plus infusional therapy with antibiotics and antianaerobic agents contribute greatly to the prompt recovery of patients.