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This is achieved by drainage of the area, removal of infected tissue and measures used during the initial surgery to restore function of the area. [11] Tertiary peritonitis is a frequent complication of intra-abdominal infection in those patients who have been admitted to intensive care units and it is a hospital-acquired infection .
Faecal peritonitis results from the presence of faeces in the peritoneal cavity. It can result from abdominal trauma and occurs if the large bowel is perforated during surgery. [11] Disruption of the peritoneum, even in the absence of perforation of a hollow viscus, may also cause infection simply by letting micro-organisms into the peritoneal ...
Initial management consists of immediate blood transfusion if the patient is in hemorrhagic shock. Classically, hemoperitoneum was an indication for emergency surgery to locate the source of bleeding and also to recover spilled blood from the peritoneal cavity and to use it for auto-transfusion if it has not been contaminated by ruptured bowel contents.
Uncomplicated infections often involved the infection of single organ and can be controlled by surgical removal of the source of infection, and antibiotics is not required after the surgery to control the infection. In complicated infections, the infection spread to a part or to the whole of the peritoneum, causing peritonitis. Meanwhile ...
Paracentesis (from Greek κεντάω, "to pierce") is a form of body fluid sampling procedure, generally referring to peritoneocentesis (also called laparocentesis or abdominal paracentesis) in which the peritoneal cavity is punctured by a needle to sample peritoneal fluid. [1] [2] The procedure is used to remove fluid from the peritoneal ...
The operation involves connecting the appendix to the abdominal wall and fashioning a valve mechanism that allows catheterization of the appendix, but avoids leakage of stool through it. By using the patient’s own appendix for the procedure, doctors can avoid using artificial devices which can be seen and can cause the patient irritation. [1]
The goals of surgery are to remove any dead tissue and close the hole in the gastrointestinal wall. Peritoneal wash is performed and a drain may be placed to control any fluid collections that may form. [22] A Graham patch may be used for duodenal perforations. [23] Conservative treatment (avoiding surgery) may be sufficient in the case of a ...
The tensing is detected when the abdominal wall is pressed. [1] Abdominal guarding is also known as ' défense musculaire ' . Guarding is a characteristic finding in the physical examination for an abruptly painful abdomen (an acute abdomen) with inflammation of the inner abdominal (peritoneal) surface due, for example, to appendicitis or ...