The challenge of post-operative peritonitis after gastrointestinal surgery

被引：10
作者：
Sartelli M. [1 ]
Griffiths E.A. [2 ]
Nestori M. [1 ]
机构：
[1] Department of Surgery, Macerata Hospital, Via Santa Lucia, 2, Macerata
[2] Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Edgbaston, Birmingham
来源：
Updates in Surgery | 2015年 / 67卷 / 4期
关键词：
Leak; Peritonitis; Post-operative; Sepsis;
D O I：
10.1007/s13304-015-0324-1
中图分类号：
学科分类号：
摘要：
Post-operative peritonitis (PP) is a life-threatening hospital-acquired intra-abdominal infection with high rates of mortality. Diffuse PP remains a challenge for surgeons. Prognosis and outcome of patients are directly related to early diagnosis and prompt intervention. The diagnosis of PP may be difficult because there are no specific clinical signs and laboratory tests to reject or confirm the diagnosis. Atypical clinical features may be responsible for a delay in reoperation. An early diagnosis and prompt treatment is crucial to prevent the development of organ failure and improve the outcome of the patients with PP. The cornerstones in the management of patients with PP are early hemodynamic support, prompt source control and adequate antimicrobial therapy. © 2015, Italian Society of Surgery (SIC).
引用
收藏
页码：373 / 381
页数：8
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