Surgical aspects in the management of peritonitis
Abstract:
Early diagnosis and early operation of underlying disease are the basis of preventing and treating peritonitis. At operation, besides meticulous technique, minimal contamination and short-term antibiotic prophylaxis diminish the incidence of established infection. Once peritonitis is manifest, massive antibiotic therapy must supplement surgical measures. Open treatment of the septic abdomen can be recommended as a simple and safe procedure with acceptable complications; continuous dorso-ventral lavage in addition may prove beneficial in certain patients.
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