Secondary peritonitis surgery: Difference between revisions
Line 3: | Line 3: | ||
{{CMG}} {{AE}} {{SCh}} | {{CMG}} {{AE}} {{SCh}} | ||
==Overview== | ==Overview== | ||
Surgery is the mainstay of treatment for patients with secondary peritonitis.The choice depends on the focus of origin of infection | Surgery is the mainstay of treatment for patients with secondary peritonitis.The choice depends on the focus of origin of infection. Prompt surgical intervention aims to eliminate the source of contamination, reduce the microbial pathogen and prevent the development of persistent sepsis.<ref name="pmid10583280">{{cite journal| author=Bosscha K, van Vroonhoven TJ, van der Werken C| title=Surgical management of severe secondary peritonitis. | journal=Br J Surg | year= 1999 | volume= 86 | issue= 11 | pages= 1371-7 | pmid=10583280 | doi=10.1046/j.1365-2168.1999.01258.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10583280 }} </ref> | ||
==Surgery== | ==Surgery== |
Revision as of 22:15, 4 February 2017
Secondary Peritonitis Microchapters |
Diagnosis |
Treatment |
Secondary peritonitis surgery On the Web |
American Roentgen Ray Society Images of Secondary peritonitis surgery |
Directions to Hospitals Treating Spontaneous bacterial peritonitis |
Risk calculators and risk factors for Secondary peritonitis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]
Overview
Surgery is the mainstay of treatment for patients with secondary peritonitis.The choice depends on the focus of origin of infection. Prompt surgical intervention aims to eliminate the source of contamination, reduce the microbial pathogen and prevent the development of persistent sepsis.[1]
Surgery
The type of surgical management depends on the site of infectious focus. The following table indicates the type of laparotomy needed depending on the origin of infection.[2][3]
Site of infectious focus | Surgical management |
---|---|
Stomach | Resection or excision/ suture |
Duodenum | Excision/ suture or resection |
Small bowel | Resection with primary anastomosis or enterostomy or suture |
Large bowel | Resection with Hartmann procedure or primary anastomosis |
Appendix | Appendectomy |
Gall bladder | Cholecystectomy |
Biliary tree | Drainage and/or resection |
Indications
Contraindications
References
- ↑ Bosscha K, van Vroonhoven TJ, van der Werken C (1999). "Surgical management of severe secondary peritonitis". Br J Surg. 86 (11): 1371–7. doi:10.1046/j.1365-2168.1999.01258.x. PMID 10583280.
- ↑ Tellado J, Woods GL, Gesser R, McCarroll K, Teppler H (2002). "Ertapenem versus piperacillin-tazobactam for treatment of mixed anaerobic complicated intra-abdominal, complicated skin and skin structure, and acute pelvic infections". Surg Infect (Larchmt). 3 (4): 303–14. doi:10.1089/109629602762539535. PMID 12697078.
- ↑ Schein M, Marshall J (2004). "Source control for surgical infections". World J Surg. 28 (7): 638–45. doi:10.1007/s00268-004-7505-2. PMID 15185005.