Importance of source control in secondary peritonitis

Objective & Hypothesis:Aims: Inthis stady we discussed retrospectively secondary peritonitis patients, surgical treatment modalities and their effectiveness in our clinic.

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Key Findings & Data:Materials&Methodology: 91 patients were operated due to diffuse peritonitis between December 1998 through July 200 1 in our clinic were analysed by age, sex, etiology of peritonitis, treatment modalities, morbidity and mortality.

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Conclusion & Impact:If there is an uncertinity for source control, STAR procedure shold be the choice of the treatment modality for decrease morbidity and mortality.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Yatış süresi · Peptik ülser perforasyonu · Peritonit

Abstract

Aims: Inthis stady we discussed retrospectively secondary peritonitis patients, surgical treatment modalities and their effectiveness in our clinic. Materials&Methodology: 91 patients were operated due to diffuse peritonitis between December 1998 through July 200 1 in our clinic were analysed by age, sex, etiology of peritonitis, treatment modalities, morbidity and mortality. Results: 32 patients were female (35.2%) and 59 patients were male (64.8 %).The median age was 40.4. The most common etiologic factor for secondary peritonitis is peptic ulcus perforation (38.4%). 23 cases (25.2%) had the diagnosis only by physical examination and laboratory assesment. The other cases diagnosed with roentgenographic evaluation . In the first operation, the aim was the source control and eradication. In 3 cases, planned re-laparotomy "staged abdominal repair" (STAR) were performed. Conservative treatment modality was performed for 8 cases. The median hospital stay for the patients were 7.4 day. Morbidity was encountered in 13 (13.6%) and mortality was encountered in 2 (2.1%). Conclusion: Source control must be the primary aim of the first operation for secondary peritonitis patients. If there is an uncertinity for source control, STAR procedure shold be the choice of the treatment modality for decrease morbidity and mortality.

Özet

Amaç: Kliniğimizde görülen yaygın sekunder peritonit nedenleri, peritonit tedavisinde uygulanan cerrahi yöntemler ve bu tedavilerin etkinliği araştırıldı. Gereç ve Yöntem: Aralık 1998 - Temmuz 2001 tarihleri arasında 91 olgu yaygın peritonit nedeniyle ameliyat edildi. Olgular yaş,cinsiyet, peritonitnedenleri,yapılan tedaviler,morbidite ve mortalité yönünden irdelendi. Bulgular: Olguların 32 (%35.2)'si kadın, 59 (%64.8)'u erkek olup ortalama yaş 40.4'dii. Olgularımızda en sık sekunder peritonit nedeni peptik ülser perforasyonları idi (%38.4). 23 olguya (%25.2) sadece fizik muayene ve laboratuvar bulguları ile tanı konuldu.Diğer olgularda görüntüleme yöntemleri kullanıldı.Cerrahi tedavide kaynak kontrolü ve eradikasyonunu işlemi uygulandı.Üç olguda planlı relapamtomi "staged abdominal repair" (STAR) işlemi uygulandı. 6 olguda konservatif tedavi yapıldı.Ortalama hastanede yatış süresi 7,4 gündür. 13 olguda (% 13.6) morbidité, 2 olguda mortalité (%2. l j saptanmıştır. Sonuç: Çalışmamızda yaygın peritonitti olgularda öncelikli tedavinin kaynak kontrolüne yöneltilmesi ve ilk ameliyatta kaynak kontrolünden emin olunamıyorsa STAR'ın tercih edilmesi gerektiği ve bu işlemlerin morbidité ve mortaliteyi azalttığı kanısına varıldı.

Keywords

Yatış süresi Peptik ülser perforasyonu Peritonit Geriyedönük çalışma Ölüm oranı Hastalık oranı Length of Stay Peptic Ulcer Perforation Peritonitis Retrospective Studies Mortality Morbidity

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Cite This Article

MİHMANLI, M., AĞCA, B., ALTINLI, E., DİNÇ, M. (2002). Importance of source control in secondary peritonitis. Ulusal Travma Dergisi, Cilt: 8 - Sayı: 1, 49–52. https://ajindex.com/articles/325156

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