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Continuous postoperative lavage in the treatment of peritoneal sepsis

  • Published:
Diseases of the Colon & Rectum

Abstract

The problem of peritonitis after perforation or trauma to the colon continues to be an important one for colon and rectal surgeons. Treatments vary, but mortality and morbidity have always been high. For these reasons, the usefulness of continuous peritoneal lavage as adjuvant therapy in the treatment of peritonitis was examined. Twenty patients with gross peritoneal contamination were treated with continuous postoperative peritoneal irrigation for 17 to 72 hours. No patient died of sepsis or developed an intra-abdominal abscess. Three patients died: two of advanced cancer and one of a pulmonary embolus. Three additional patients developed complications: mild congestive heart failure in two and transient respiratory failure in one.

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References

  1. Torek F. Treatment of diffuse suppurative peritonitis following appendicitis. Med Rec 1906;70:849–58.

    Google Scholar 

  2. Condon RE. Management of the acute complications of diverticular disease: peritonitis and septicemia (symposium). Dis Colon Rectum 1976;19:296–300.

    Article  PubMed  CAS  Google Scholar 

  3. Wood CD. Acute perforations of the colon. Dis Colon Rectum 1977;20:126–9.

    Article  PubMed  CAS  Google Scholar 

  4. Burnett WE, Brown GR Jr, Rosemond GP, Casewell HT, Buchor RB, Tyson RR. The treatment of peritonitis using peritoneal lavage. Ann Surg 1957;145:675–82.

    Article  PubMed  CAS  Google Scholar 

  5. Gardner G, Grosfeld JL. Increased survival in fecal peritonitis treated with donor peritoneal phagocytes. Surg Forum 1977;28:51–3.

    PubMed  CAS  Google Scholar 

  6. Steinberg D. On leaving the peritoneal cavity open in acute generalized suppurative peritonitis. Am J Surg 1979; 137:216–20.

    Article  PubMed  CAS  Google Scholar 

  7. Hudspeth AS. Radical surgical debridement in the treatment of advanced generalized bacterial peritonitis. Arch Surg 1975;110:1233–6.

    PubMed  CAS  Google Scholar 

  8. McKenna JP, Currie DJ, MacDonald JA, Mahoney LJ, Finlayson DC, Lanskail JC. The use of continuous postoperative peritoneal lavage in the management of diffuse peritonitis. Surg Gynecol Obstet 1970;130:254–8.

    PubMed  CAS  Google Scholar 

  9. Price J. Surgical intervention in cases of peritonitis. Proc Philadelphia County Med Soc 1905;26:189–99.

    Google Scholar 

  10. Artz CP, Barnett WO, Grogan JB. Further studies concerning the pathogenesis and treatment of peritonitis. Ann Surg 1962;155:756–67.

    Article  PubMed  CAS  Google Scholar 

  11. Hovnanian AP, Saddawi N. An experimental study of the consequences of intraperitoneal irrigation. Surg Gynecol Obstet 1972;134:575–8.

    PubMed  CAS  Google Scholar 

  12. Behan R. Acute generalized suppurative peritonitis; treatment by intra-abdominal lavage with ethyl alcohol (reduction of mortality rate from 50 to 4 per cent). Am J Surg 1934; 25:28–34.

    Article  Google Scholar 

  13. Pickard RG. Treatment of peritonitis with pre- and postoperative irrigation of the peritoneal cavity with noxythiolin solution. Br J Surg 1972;59:642–8.

    Article  PubMed  CAS  Google Scholar 

  14. Noon GP, Beall AC Jr, Jordan GL Jr, Riggs S, De Bakey ME. Clinical evaluation of peritoneal irrigation with antibiotic solution. Surgery 1967;62:73–8.

    Google Scholar 

  15. Hau T, Simmons RL. Chemotactic substances in the treatment of experimental intraperitoneal infections. Ann Surg 1980;192:625–8.

    Article  PubMed  CAS  Google Scholar 

  16. Hau T, Lee JT Jr, Simmons RL. Mechanisms of the adjuvant effect of hemoglobin in experimental peritonitis. IV. The adjuvant effect of hemoglobin in granulocytopenic rats. Surgery 1981;89:187–91.

    PubMed  CAS  Google Scholar 

  17. Aune S, Norman E. Diffuse peritonitis treated with continuous peritoneal lavage. Acta Chir Scand 1970;136:401–4.

    PubMed  CAS  Google Scholar 

  18. Hunt JA. An assessment of antibiotic peritoneal lavage in the treatment of severe bacterial peritonitis. S Afr J Surg 1976;14:31–43.

    PubMed  CAS  Google Scholar 

  19. Ahrenholz DH, Simmons RL. Fibrin in peritonitis. I. Beneficial and adverse effects of fibrin in experimentalE. coli peritonitis. Surgery 1980;88:41–7.

    PubMed  CAS  Google Scholar 

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Read at the meeting of the American Society of Colon and Rectal Surgeons, San Francisco, California, May 2 to 6, 1982.

Supported in part by grants from the Veterans Administration.

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Jennings, W.C., Wood, C.D. & Guernsey, J.M. Continuous postoperative lavage in the treatment of peritoneal sepsis. Dis Colon Rectum 25, 641–643 (1982). https://doi.org/10.1007/BF02629531

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  • DOI: https://doi.org/10.1007/BF02629531

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