Surgical wound closure in advanced peritonitis; [Способы закрытия операционной раны при распространенном перитоните]

To date, mortality in widespread peritonitis is still high (15—20%) and increased up to 70—80% in case of septic shock. Surgeons actively discuss wound closure technique in these patients considering intraoperative findings and severity of illness. The authors present scientific data and opinions of national and foreign surgeons regarding the methods of laparotomy closure. There are still no generally accepted criteria for choosing the method of laparotomy closure in secondary widespread peritonitis. Indications and clinical efficacy of each procedure require additional research. © N.V. LEBEDEV, A.E. KLIMOV, V.S. SHADRINA, A.P. BELYAKOV.