Fortschritte der Medizin
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Fortschritte der Medizin · Apr 1982
[Postoperative peritonitis. Patients, causes, therapy, prognosis].
1. The most frequent causes of postoperative peritonitis are circumscribed abscesses, the postoperative ileus and the anastomotic leakage or breakdown of the digestive suture. 2. ⋯ A mixed flora of spores are found in most cases; obligate anaerobic spores are found mostly after colorectal procedures, while typical "hospitalized spores" were present equally after all surgical treatment in abdomen. 5. Method of treatment is: early surgical reintervention, systemic application of antibiotics, peritoneal lavage in generalized peritonitis, sufficient drainage in local peritonitis and the open-wound-treatment of the abdominal cavage in severe forms.