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Operative management of intraabdominal infection
1Medical College of Wisconsin, Dept. of Surgery, Milwaukee 53226.
Abstract:
Surgical principles in the management of intraabdominal infection have remained constant. Rather, it is the application of these principles in selected cases that has varied. Judgement, therefore, becomes paramount for the surgeon. In selected cases multiple planned relaparotomies may be the most effective means of closing the infectious source and eliminating toxic infectious materials. The Burr has proven to be an effective yet safe means of permitting entry and closure of the abdominal fascia.
Insights
Surgical management of intra-abdominal infections relies on surgeon judgment. Planned relaparotomies and the Burr for fascial closure are effective in selected cases.
Area of Science:
- Surgical management
- Intra-abdominal infections
- Surgical principles
Background:
- Management of intra-abdominal infections requires adherence to established surgical principles.
- The application of these principles is tailored to individual patient cases.
Purpose of the Study:
- To highlight the importance of surgical judgment in managing intra-abdominal infections.
- To discuss the role of planned relaparotomies and specific surgical tools in treatment.
Main Methods:
- Review of surgical principles in intra-abdominal infection management.
- Discussion of case selection for planned relaparotomies.
- Evaluation of the Burr for abdominal fascia entry and closure.
Main Results:
- Surgical principles remain constant, but their application varies.
- Multiple planned relaparotomies can effectively control infectious sources.
- The Burr facilitates safe and effective abdominal fascia management.
Conclusions:
- Surgical judgment is critical for optimal outcomes in intra-abdominal infections.
- Planned relaparotomies are a valuable strategy in select cases.
- The Burr is a safe and effective tool for abdominal fascial management.