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Ichilov Medical Center
Gastroenterology

Diagnosis and Treatment of Peritonitis in Israel

Peritonitis is inflammation of the peritoneum due to various diseases or abdominal trauma. The condition is severe, and the patient requires urgent treatment. The Top Ihilov Clinic provides qualified assistance for peritonitis. The clinic employs leading, experienced surgeons and certified medical staff. Thanks to the coordinated actions of all departments at Top Ihilov, successful emergency surgeries are performed with favorable outcomes.

Causes of Peritonitis May Include:

  • the entry of gastric or intestinal contents into the abdominal cavity due to perforation of these organs (intestinal obstruction, perforation of a gastric or duodenal ulcer, perforation of the appendix, damage to organs by foreign bodies, necrosis of the intestine due to strangulation, etc.);
  • internal bleeding (injury to abdominal and pelvic organs, rupture of a fallopian tube, ovarian apoplexy);
  • infectious diseases of the abdominal and pelvic organs;
  • the presence of excess fluid in the abdominal cavity (ascites) and its suppuration;
  • injury or perforation of organs and the entry of irritating agents into the abdominal cavity (urine, bile, gastric juice, blood, secretions, etc.).

Medical Surgical Assistance for Peritonitis at the Top Ihilov Clinic

The clinical picture of peritonitis is quite pronounced; the doctor can diagnose it upon examination (palpation, percussion, inspection). The patient's condition is severe, with increasing intoxication. Tests are ordered on a CITO basis, and intensive preparation for surgery is conducted, including: drainage of gastric contents, infusion and transfusion therapy. During the operation, the main task is to localize the focus and eliminate the cause of peritonitis.

Postoperative Period

After the surgery, the patient remains in the intensive care unit until their condition stabilizes, and then is transferred to a department for continued treatment. During treatment, antibacterial therapy is administered, and broad-spectrum antibiotics are prescribed. The consequences of intoxication are addressed, infusion therapy is conducted, and restorative therapy (resumption of intestinal peristalsis) is carried out. Symptomatic treatment of dysfunctions of other organs is provided.

  • Extracorporeal detoxification
  • Enterosorption. The prescription of sorbent medications to bind and eliminate toxic products of inflammation.
  • Extracorporeal oxygenation (membrane). A method of saturating the patient's blood with oxygen.
  • Lymphosorption. Purification of lymph by passing it through sorbents.
  • Hemoadsorption. Purification of blood from toxins by passing it through sorbents.
  • Ultrafiltration. Correction of water homeostasis, removal of non-protein excess fluid from the bloodstream.
  • Hemoperfusion of the abdominal cavity. Layered cleansing of the abdominal cavity.
  • Xenospelenoperfusion.

Fruitful and comprehensive therapy at the Top Ihilov Clinic, along with a regulated treatment process, allows us to confidently speak about the successful treatment of such a complex disease as peritonitis.

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