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Postoperative peritoneal lavage in generalised peritonitis. A prospective analysis
G V Kumar1, S R Smile, R N Sibal
1Department of Surgery, Jawaharial Institute of Postgraduate Medical Education and Research, Pondicherry, India.
International Surgery
|January 1, 1989
Summary
Peritoneal lavage in generalized peritonitis did not reduce mortality and increased complications. While it aided faster recovery in survivors, its use is questionable for less severe cases.
Area of Science:
- Surgical Gastroenterology
- Critical Care Medicine
Background:
- Generalized peritonitis presents significant patient mortality.
- Conventional treatment has limitations in managing severe peritonitis.
Purpose of the Study:
- To evaluate the efficacy of postoperative peritoneal lavage in generalized peritonitis.
- To compare outcomes between peritoneal lavage and conventional treatment.
Main Methods:
- A comparative study of 50 patients with generalized peritonitis.
- 20 patients received postoperative peritoneal lavage.
- 30 patients received conventional treatment.
Main Results:
- Peritoneal lavage did not reduce mortality rates.
- Increased incidence of reperforation and anastomotic leak observed with lavage.
- Survivors receiving lavage showed earlier return of bowel sounds and reduced fever.
- Hospital stay was reduced for patients undergoing lavage.
Conclusions:
- Peritoneal lavage is associated with significant complications.
- Its benefits in reducing fever and improving recovery in survivors are noted.
- The use of peritoneal lavage is recommended only for gross peritoneal contamination, not lesser degrees of peritonitis.