The article represents the performance evaluation of intensive therapy of postoperative intestinal insufficiency in case of generalized peritonitis. 81 patients with postoperative intestinal insufficiency were examined. Constant infusion of 0,5% solution of ropivakain was taken in peridural space (6-10 ml/h). Application of proposed treatment regimen of intestinal insufficiency leads to faster reliable regress of dynamic intestinal insufficiency ultrasound signs, what may cause the beginning of early enteral feeding (from 3-rd day of postoperative stage).