Peritonitis and empyema following the use of dextran in tubal operations.
Two patients developed severe bacterial sepsis with peritonitis and pleural empyema following tubal surgery. Intraperitoneal low-molecular dextran was used in both patients and hydrocortisone was administered perioperatively. The use of dextran in tubal surgery probably increases the risk of severe postoperative infection and should be avoided in susceptible patients. Prophylactic antibiotics may be indicated when dextran is administered.
Zamir
O
O
Department of Surgery, Hadassah University Hospital Mount Scopus, Jerusalem, Israel.
Rosenn
B
B
Udassin
R
R
Nissan
S
S
Palti
Z
Z
D000328:Adult; D003911:Dextrans / Q000009:adverse effects* / Q000627:therapeutic use; D004653:Empyema / Q000209:etiology*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*
D003911:Dextrans