[Postoperative management. Critical care in intra-abdominal

Presse Med · Jan 1999

Review

[Postoperative management. Critical care in intra-abdominal infection after surgical intervention].

UNDERESTIMATED FREQUENCY: Post-operative intraabdominal infections usually appear as abscesses or injury of the bowel, either alone or in combination. These complications of frequently underestimated frequency are characterized by high mortality. ⋯ ALARM SIGNS: In a patient who recently underwent abdominal surgery, the onset of abnormal signs must be considered as an alarm which imposes ruling out intraabdominal complications. Unexplained multiple organ failure or septic shock in the post-operative period of intraabdominal surgery must lead to considering explorative laparotomy.

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- P Montravers, S Lepers, and D Popesco.
- Service C d'Anesthésie-Réanimation, Groupe Hospitalier Sud-Salouel, Amiens. pmontrav@planete.net
- Presse Med. 1999 Jan 30; 28 (4): 196-202.
AbstractUNDERESTIMATED FREQUENCY: Post-operative intraabdominal infections usually appear as abscesses or injury of the bowel, either alone or in combination. These complications of frequently underestimated frequency are characterized by high mortality. Improvement of their prognosis is obtained by early recognition of the complication and a multidisciplinary approach. ALARM SIGNS: In a patient who recently underwent abdominal surgery, the onset of abnormal signs must be considered as an alarm which imposes ruling out intraabdominal complications. Unexplained multiple organ failure or septic shock in the post-operative period of intraabdominal surgery must lead to considering explorative laparotomy.

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