[Postoperative peritonitis].
In a 5-year-period (1986-1990), 7818 patients underwent abdominal operations. 40 developed diffuse peritonitis postoperatively, of whom 14 (35%) died. Postoperative peritonitis is best subgrouped according to primary surgery (operations on colon, duodenum, small intestine, biliary tract and pancreas; gynecological surgery; interventional operations). Diagnosis relies mainly on clinical signs and laboratory parameters (e.g. serum endotoxin level); imaging techniques may present additional hints. Reoperation should be initiated early. Scheduled relaparotomy was successful in six patients.
Linder
M M
MM
Chirurgische Klinik I, Klinikum Ingolstadt, Bundesrepublik Deutschland.
Schäfer
G
G
D003937:Diagnosis, Differential; D004731:Endotoxins / Q000097:blood; D005767:Gastrointestinal Diseases / Q000601:surgery; D006801:Humans; D010538:Peritonitis / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation
D004731:Endotoxins
Postoperative Peritonitis.