Abstract
There has been a great change in the prognosis of peritonitis since the first antibiotic was introduced. However, on detailed analysis there are exceptions. For example, there has been a good chance of survival after gastroduodenal perforation treated within the first 6–8 h after the onset of symptoms since 1900, and in China over 70% of perforated peptic ulcers were treated conservatively. The overall mortality rate due to peritonitis was high before the introduction of antibiotics, and much better results can now be achieved with colonic peritonitis and injuries to the gastrointestinal tract. Postoperative and biliary peritonitis still have the worst prognosis, and antibiotics and intensive care have not changed the outcome of treatment much. Reviews of the literature show that there has been a steady decrease in the mortality rates, but this does not apply to all causes of peritonitis.
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Wacha, H. (1987). Summary and Conclusions. In: Peritonitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73008-5_12
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DOI: https://doi.org/10.1007/978-3-642-73008-5_12
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