Organization of surgical treatment of complicated cholecystitis

The results of repeated operations for postoperative peritonitis were studied in 24 patients who had previously undergone cholecystectomy. Most of the studied patients were over 50 years old and had signs of multiple organ failure. The indicators of hemodynamics, respiration, consciousness, body temperature, intestinal peristalsis, daily diuresis, clinical and biochemical blood parameters before and after rehabilitation relaparotomy were comparatively analyzed. It was found out that the timing of normalization of the postoperative general condition of patients and the indicators of hemogram and blood biochemistry directly depends on such a factor as multiple organ failure. The frequency of postoperative complications was 25%. Postoperative mortality in operated patients was observed only in those who had multiple organ failure: 2 out of 24 patients with acute complicated cholecystitis died, which is 8.3%