[Causes of failure in the treatment of postoperative peritonitis].
The authors analyze a group of 49 postoperative peritonitis, which represent 0.57% of a total of 8550 surgical interventions performed over the last 7 years and 1.19% of 4100 laparotomies carried out in an elective operation orientated general surgery department. The mortality rate was 28.57% (14 patients) among the 49 studied cases, which represents 25% of all deaths recorded in our department over the same time interval. A full account on postoperative peritonitis vital prognostic factors is given, insisting on: specific bacteriology (nosocomial infections), peculiar etiologies (10 out of 14 fatalities were originally operated on for digestive cancers), different associations of postoperative peritonitis with other infectious and noninfectious postsurgical complications (as encountered in all 14 deaths), type of postoperative peritonitis (13 death out of 14 were due to generalized peritonitis), postoperative peritonitis secondary to ignored lesions at the original operation (3 cases--3 deaths), surgical treatment limitation (late operative timing which was responsible of 9 deaths); treatment inadequacies of peritonitis and its cause--5 fatalities.
Vasile
I
I
Clinica IV Chirurgie Generală, UMF Craiova.
Mogoş
D
D
Păun
I
I
Florescu
M
M
Vîlcea
D
D
Nedelcuţă
C
C
Dumitrelea
D
D
Ungureanu
G
G
D000328:Adult; D000368:Aged; D004066:Digestive System Diseases / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology / Q000401:mortality*; D011183:Postoperative Complications / Q000401:mortality*; D012189:Retrospective Studies; D012307:Risk Factors; D012383:Romania / Q000453:epidemiology; D015996:Survival Rate; D017211:Treatment Failure