[Systematic aspects of depot peritoneal lavage in gynecology]

After 9 years of experience in gynaecology, the systematics of depot peritoneal lavage is now open for discussion. Intraoperatively, a liquid residual depot of 1.5-2.0 l Ringer's solution remains, while the abdominal cavity is continuously rinsed with varying amounts of liquid according to the indication. By maintaining the depot in all lavages, the formation of adhesions is therefore prevented. Forms and indications of the lavages: 1. "Postoperative Clear Lavage": a) Removal of blood and tissue residues must be removed b) Control/early diagnosis of secondary haemorrhage 2. "Adhesion Lavage": Prophylaxis 3. "Anti-septic Massive Lavage": In all cases of inflammatory diseases of the abdominal cavity, to prevent abscess and adhesion formation, and in peritonitis, to remove bacteria, endotoxins and detritus. In severe ascending infections, complete organ preservation was possible in 94% of 330 patients by combining early laparoscopy with an antiseptic massive lavage. Results of the first two indications will be published shortly.