Causes of failure in the treatment of postoperative peritonitis

The authors analyze a group of 49 postoperative peritonitis, which represent 0.57% of a total of 8550 surgical interventions performed over the last 7 years and 1.19% of 4100 laparotomies carried out in an elective operation orientated general surgery department. The mortality rate was 28.57% (14 pa...

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Bibliographic Details
Published inChirurgia (Bucharest, Romania : 1990) Vol. 95; no. 2; p. 169
Main Authors Vasile, I, Mogoş, D, Păun, I, Florescu, M, Vîlcea, D, Nedelcuţă, C, Dumitrelea, D, Ungureanu, G
Format Journal Article
LanguageEnglish
Romanian
Published Romania 01.03.2000
Subjects
Adult
Aged
Digestive System Diseases - surgery
Humans
Middle Aged
Peritonitis - etiology
Peritonitis - mortality
Postoperative Complications - mortality
Retrospective Studies
Risk Factors
Romania - epidemiology
Survival Rate
Treatment Failure
Romania
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Summary:The authors analyze a group of 49 postoperative peritonitis, which represent 0.57% of a total of 8550 surgical interventions performed over the last 7 years and 1.19% of 4100 laparotomies carried out in an elective operation orientated general surgery department. The mortality rate was 28.57% (14 patients) among the 49 studied cases, which represents 25% of all deaths recorded in our department over the same time interval. A full account on postoperative peritonitis vital prognostic factors is given, insisting on: specific bacteriology (nosocomial infections), peculiar etiologies (10 out of 14 fatalities were originally operated on for digestive cancers), different associations of postoperative peritonitis with other infectious and noninfectious postsurgical complications (as encountered in all 14 deaths), type of postoperative peritonitis (13 death out of 14 were due to generalized peritonitis), postoperative peritonitis secondary to ignored lesions at the original operation (3 cases--3 deaths), surgical treatment limitation (late operative timing which was responsible of 9 deaths); treatment inadequacies of peritonitis and its cause--5 fatalities.
ISSN:1221-9118