Currently, despite significant achievements in the field of surgery, anesthesiology and resuscitation, the results of treatment of patients with advanced purulent peritonitis remain one of the most intractable problems, almost every sixth patient with acute surgical diseases and injuries of the abdominal cavity is admitted to medical institutions with peritonitis [1,3] Common peritonitis in 17-29% complicates the course of most acute surgical diseases and is the main cause of deaths in surgical hospitals [3,7]. Lethality in advanced peritonitis remains extremely high and reaches 20-39% [1,2,4,5]. In recent decades, great importance has been attached to recording intra-abdominal pressure in purulent pathology of the abdominal cavity. It was found that intra-abdominal hypertension occurs in every third patient with acute surgical pathology and negatively affects the functioning of all organs and systems of the body [1,6,8]. Pathological changes that occur with acute and excessive increase in intra-abdominal pressure (IAP) are manifestations of abdominal compartment syndrome (ACS) with disorders of the cardiovascular system; urinary disorders, disorders of perfusion of internal organs and the development of intestinal ischemia, which contributes to bacterial translocation and endogenous infection [2,7,8]. Ischemic blood flow disorders of the splanchnic zone are fraught with the development of bacterial translocation and the development of systemic inflammatory response syndrome and multiple organ failure (PON). Unsatisfactoriness with such results gave rise to a fundamentally different approach to the surgical treatment of common forms of peritonitis-the introduction of an open abdominal management method based on the ideas of I. Mikulich (1881), Jean-Louis Faure (1928), N. S. Makoch (1984) and D. Steinberg (1979).

Relaparotomy, , laparostomy,

Derbentseva T. V., Maskin C. C., Golbreich V. A. Program and emergency relaparotomies in the treatment of common peritonitis // Bulletin of the Volgograd state medical University. – 2012. – №4(44). –P. 105-107.

Kuevda E. V. Laparostomy in the treatment of common peritonitis // Bulletin of the Russian state medical University, 2011, no. 1, Pp. 359-360.

Kuevda E. V. Tactics of treatment of patients with advanced peritonitis taking into account the influence of intra-abdominal hypertension // Collection of materials of the conference "postgraduate and doctoral readings: new age Challenges - search for innovations". - Moscow, 2012. - P. 97-99.

Maskin C. C., Golbreich V. A., Lopasteisky D. S. Programmed and emergency relaparotomies for common peritonitis and intra-abdominal complications / / XI Congress of surgeons of the Russian Federation: Mater. Congress's. – Volgograd: Publishing house of Vol.GMU, 2011. - P. 533-534.

Maskin C. C., Derbentseva T. V., Karsanova N. M., etc. Results of programmed and emergency relaparotomy for advanced purulent peritonitis // Matera. city scientific and practical conference-Moscow, 2012. - Pp. 74-75.

Savchenko Yu. P., Kuevda E. V., Golikov I. V. intra-abdominal hypertension Syndrome in the choice of surgical treatment of acute widespread peritonitis // Bulletin of experimental and clinical surgery, 2011, Vol. 4, No. 1, Pp. 148-151.

Timerbulatov V. M., Timerbulatov sh. V., Gareev R.N., etc. Prognostic value of criteria for intraabdominal hypertension syndrome in emergency abdominal surgery / / Infections in surgery. - 2010. - No. 4. - Pp. 44-46.

Fayazov R. R., Timerbulatov sh. V., Gareevr. N. et al.Intraabdominal hypertension in emergency surgery / / Medical Bulletin of Bashkortostan. - 2008. - No. 5. - Pp. 64-67.