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[Postoperative peritonitis. Patients, causes, therapy, prognosis]

S Altunbay, H J Bleiler, T Heil

    Fortschritte Der Medizin
    |April 8, 1982
    PubMed
    Summary

    Postoperative peritonitis, often caused by abscesses or suture breakdown, leads to significant mortality. Early reintervention and antibiotics are crucial for managing this severe abdominal complication.

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    Area of Science:

    • Gastroenterology
    • Surgical Infections
    • Microbiology

    Context:

    • Postoperative peritonitis is a serious complication following abdominal surgery.
    • Common causes include abscesses, ileus, and digestive suture breakdown.
    • Mortality rates are high, particularly after upper abdominal procedures.

    Purpose:

    • To identify the primary causes of postoperative peritonitis.
    • To analyze mortality rates and associated risk factors.
    • To outline current treatment strategies for peritonitis.

    Summary:

    • Frequent causes of postoperative peritonitis include abscesses, ileus, and anastomotic leakage.
    • Overall mortality is 33%, with higher rates in upper abdominal surgery compared to colorectal surgery.
    • Generalized sepsis is the leading cause of death after reoperation.
    • Mixed spore flora is common, with obligate anaerobes prevalent after colorectal surgery.
    • Treatment involves early surgical reintervention, antibiotics, peritoneal lavage, drainage, and open wound management.

    Impact:

    • Highlights the critical causes and high mortality of postoperative peritonitis.
    • Emphasizes the importance of prompt surgical intervention and antibiotic therapy.
    • Provides a framework for managing diverse forms of peritonitis, from localized to generalized.

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