Efficiency of Lymphatic Therapy in Acute Diffuse Peritonitis in the Postoperative Period

Objective: To improve the outcomes of patients operated on for acute generalized peritonitis by including endomesenteric lymphotropic therapy in the postoperative treatment regimen.

Material and methods: A total of 239 patients with acute generalized peritonitis of various etiologies were analyzed (2014–2025). Patients were divided into 2 groups: control (n=115) — standard postoperative therapy, and main (n=124) — standard therapy plus endomesenteric lymphotropic therapy.

Results: In the main group, intestinal peristalsis resumed on day 2, and gas passage on day 3, compared to days 4–5 in the control group. Leukocytosis decreased significantly by day 3 in the main group, versus day 6 in controls. The average hospital stay was reduced by 3.5±1.5 days.

Conclusion: Endomesenteric lymphotropic therapy accelerates recovery of gastrointestinal function, reduces intoxication, lowers the incidence of complications, and shortens hospital stay in patients with acute generalized peritonitis.