[Problems of enterectomy for diffuse peritonitis in children (author's transl)].
An analysis was made of the author's own patients with diffuse perforative peritonitis (without appendicitis) in childhood. Most patients had a perforated enterocolitis. Treatment of choice: Resectioning the perforated areas of the intestine or Resectioning the intestine just before the perforation; anastomosis in the septic area should not be carried out, instead an enterostomy with two lumina should be performed; intensive therapy; therapy for sepsis with exchange transfusion. The reanastomazation should take place only after the patient has fully recovered; definite criteria for evaluation, when this is the case, were presented. The mortality rate for the author's cases was 46%; statistics taken from international literature indicate a mortality rate of 65%.
D000293:Adolescent; D002648:Child; D003092:Colitis / Q000601:surgery; D003106:Colon / Q000601:surgery; D004751:Enteritis / Q000601:surgery; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D007223:Infant; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000601:surgery*; D007416:Intestinal Perforation / Q000601:surgery; D008297:Male; D010538:Peritonitis / Q000401:mortality / Q000601:surgery*; D013529:Surgical Wound Dehiscence
Problematik der Darmresektion bei diffuser Peritonitis im Kindesalter.