Citation Information :
Mansor S, Zarour A, Dawdi S, Suliman I, Ali A, Aljumaili H, Ghali MS. Surgical Management of Secondary Peritonitis: An Experience of 212 Cases in 5 Years. Panam J Trauma Crit Care Emerg Surg 2023; 12 (1):56-60.
Aim: Secondary peritonitis is a common serious surgical condition that has a significant rate of morbidity and mortality. Postoperative abdominal abscesses are considered a common complication. The purpose of this study is to analyze how the type of peritonitis, whether general or localized, can influence the formation of postoperative abdominal abscesses and the use of surgical drains to minimize the development of this complication.
Materials and methods: A retrospective study was conducted on patients who presented with secondary peritonitis and had surgical treatment over a 5-year period in the acute care surgery section, Hamad Medical Corporation, Doha, Qatar. Patients’ age, gender, indications for surgery, intraoperative findings, surgical procedure, antibiotic used, postoperative complications, postoperative intervention, surgical reexploration, and hospital stays were among the data collected.
Results: A total of 212 patients were admitted with secondary peritonitis during the study period. Around 112 (52.8%) patients with localized and 100 (47%) with generalized peritonitis. The average age was 37. Perforated appendicitis was the cause of secondary peritonitis in 150 (70.8%) patients, perforated peptic ulcers in 45 (21.2%), perforated colon in nine (4.3%), perforated small bowel in five (2.4%), perforated gallbladder in two (0.9%), and perforated gastric ulcer in one patient (0.5%). A postoperative abdominal abscess was diagnosed in 25% of the patients with generalized peritonitis and 22.3% of those with localized peritonitis. Surgical drains were placed in 152 (71.6%) patients, and 38 (25%) of them developed a postoperative abdominal abscess.
Conclusion: Postoperative abdominal abscess is common in patients operated on for secondary peritonitis, and whether the peritonitis was localized or diffused, or a drain was placed at the initial surgery had no measurable significance on the postoperative abdominal abscess formation.
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