title: [Etiology, clinical picture, and diagnosis of postoperative peritonitis in rectal cancer].
abstract: Under analysis were 40 case histories and records of dissections of patients dead of diffuse peritonitis after operations for rectum cancer. It was established that in 1/3 of observations technical defects were responsible for peritonitis. Measures for the prevention of peritonitis are proposed when infection in the abdominal cavity is revealed during operation. An atypical course of peritonitis, not pronounced signs of pathological abdominal cavity results in diagnostic errors. Diagnosis of cardiovascular insufficiency is established in most cases. Peritonitis in patients treated with the use of preoperative irradiation is characterized by the inert course without leukocytosis in many cases. The main efforts should be directed to prophylaxis, i. e. an improvement of the operation technique, struggle against hospital infections, suppression of the microbial flora in the abdominal cavity which appears due to technical errors during surgery.
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D001202:Ascitic Fluid / Q000382:microbiology; D001419:Bacteria / Q000187:drug effects / Q000302:isolation & purification; D001794:Blood Pressure; D005260:Female; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis* / Q000382:microbiology / Q000517:prevention & control; D011183:Postoperative Complications / Q000175:diagnosis*; D012004:Rectal Neoplasms / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Prichiny, klinika i diagnostika posleoperatsionnogo peritonita pri rake priamoĭ kishki.