Surgical aspects in the management of peritonitis.
Early diagnosis and early operation of underlying disease are the basis of preventing and treating peritonitis. At operation, besides meticulous technique, minimal contamination and short-term antibiotic prophylaxis diminish the incidence of established infection. Once peritonitis is manifest, massive antibiotic therapy must supplement surgical measures. Open treatment of the septic abdomen can be recommended as a simple and safe procedure with acceptable complications; continuous dorso-ventral lavage in addition may prove beneficial in certain patients.
D000368:Aged; D000617:Aminoglycosides / Q000008:administration & dosage; D001424:Bacterial Infections / Q000601:surgery*; D002440:Cefoxitin / Q000008:administration & dosage; D004322:Drainage; D006801:Humans; D007430:Intraoperative Care; D007552:Isotonic Solutions; D008795:Metronidazole / Q000008:administration & dosage; D008802:Mezlocillin / Q000008:administration & dosage; D010538:Peritonitis / Q000175:diagnosis / Q000517:prevention & control / Q000601:surgery*; D011182:Postoperative Care; D000077331:Ringer's Solution; D013530:Surgical Wound Infection / Q000517:prevention & control*; D007507:Therapeutic Irrigation
D000617:Aminoglycosides; D007552:Isotonic Solutions; D008795:Metronidazole; D002440:Cefoxitin; D000077331:Ringer's Solution; D008802:Mezlocillin