Differentiated treatment strategy for peritonitis: single stage closure with drainage or open with programmed reintervention/lavage?

307 Patients with intraabdominal infections were operated between 8/1988 to 8/1991. Simple clinical parameters (according to the Mannheimer Peritonitis-Index) were evaluated before treatment. The classical therapeutic concept of one-stage laparotomy with drainage of the abdomen was performed in 223...

Full description

Saved in:
Bibliographic Details
Published inZentralblatt für Chirurgie Vol. 118; no. 7; p. 395
Main Authors Demmel, N, Osterholzer, G, Günther, B
Format Journal Article
LanguageGerman
Published Germany 1993
Subjects
Adult
Aged
Drainage
Female
Follow-Up Studies
Humans
Male
Middle Aged
Peritoneal Lavage
Peritonitis - etiology
Peritonitis - mortality
Peritonitis - surgery
Postoperative Complications - etiology
Postoperative Complications - mortality
Postoperative Complications - surgery
Prospective Studies
Reoperation
Survival Rate
Suture Techniques
Online AccessGet more information

Cover

More Information
Summary:307 Patients with intraabdominal infections were operated between 8/1988 to 8/1991. Simple clinical parameters (according to the Mannheimer Peritonitis-Index) were evaluated before treatment. The classical therapeutic concept of one-stage laparotomy with drainage of the abdomen was performed in 223 patients initially. Because of recurrent infection and other complications in 19% of them 1 - 2 relaparotomies had to be done, and in 8% change to open treatment was necessary. Open treatment with planned relaparotomy was necessary in alltogether 101 patients, 93 abdominal complications due to primary disease or sepsis were detected in 43 of them. Abdominal treatment was successful (eradication of source of infection, no recurrence of infection) in 98% of the patients after closed and in 84% after open treatment. Mortality was 6.8% vs. 32.7% and on the whole 15.3%.
ISSN:0044-409X