Related Experiment Videos
[Open abdomen treatment in massive peritonitis. Our experience]
B Forloni1, A Olivieri, G L Zani
1II Divisione Chirurgia Generale, USSL 32-Ospedale di Treviglio, Bergamo.
Minerva Chirurgica
|November 1, 1994
Summary
Aggressive surgical management with planned abdomen reexploration for intractable intra-abdominal sepsis is a high-risk, high-mortality intervention. This approach is only justified by the extreme severity of illness in critically ill patients.
Area of Science:
- Surgical critical care
- Abdominal sepsis management
- Intensive care medicine
Context:
- Intractable intra-abdominal sepsis presents a significant challenge in surgical critical care.
- Managing severe abdominal infections requires aggressive therapeutic strategies.
- Previous management protocols have shown limited success in refractory cases.
Purpose:
- To evaluate the efficacy and outcomes of planned abdomen reexploration for intractable intra-abdominal sepsis.
- To determine the justification for aggressive surgical intervention in severe intra-abdominal sepsis.
- To analyze the mortality rates associated with this intensive management approach.
Summary:
- Eight patients with intractable intra-abdominal sepsis underwent planned abdomen reexploration.
- This aggressive surgical treatment was reserved for cases with extreme severity of illness.
- Despite aggressive management, the study observed a high mortality rate.
Impact:
- Highlights the critical nature and poor prognosis of intractable intra-abdominal sepsis.
- Underscores the limited benefits of aggressive surgical reexploration in such severe conditions.
- Informs clinical decision-making regarding the aggressive management of complex abdominal infections.