Peritonitis manejada por laparoscopia como método terapéutico eficaz

Peritonitis is one of the main complications of abdominal emergencies. Laparoscopy serves both for the diagnostic and therapeutic management of the acute abdomen; in expert hands the morbimortality of this method is minimal. OBJECTIVE: The objective is to verify the efficacy of laparoscopy in patients with secondary peritonitis performing a single surgery without the need for reinterventions, ensuring the least damage of the abdominal wall, avoiding laparotomy. MATERIAL AND METHODS: Retrospective study included patients with final diagnosis of peritonitis and managed with laparoscopic technique, covering a period from May 2011 to July 2016, admitted to Clínica Nuestra Señora de Fátima, Pasto, Colombia. RESULTS: The sample was 67 patients. The results indicate an average age of 45 years, maximum age 94 and minimum 17 years, ± 20.6; female sex predominates in 55.2% (n = 37); being 73.1% (n = 49) of the urban area. The mean evolution time of the disease was 4 days. There were no cases of mortality in the study population. CONCLUSION: The laparoscopic technique, thorough cleaning of the abdominal cavity, insertion of the mixed drainage and adequate antibiotic treatment, constitutes a safe technique in the patient since it prevents surgical reinterventions, risk of infections, absence of paralytic ileus and bleeding, thus avoiding laparostomy and the giant defect of the abdominal wall.

• Autores: Becerra Coral, Luis Enrique; Gomez Ceron L.N.; Delgado Bravo, Adriana Isabel
• Tipo de recurso: Article of journal
• Fecha de publicación: 2018
• Institución: Universidad Cooperativa de Colombia
• Repositorio: Repositorio UCC
• OAI Identifier: oai:repository.ucc.edu.co:20.500.12494/41915
• Acceso en línea: https://doi.org/10.17796/1053-4628-41.2.102; https://hdl.handle.net/20.500.12494/41915
• Palabra clave: antiinfective agent; adolescent; adult; aged; appendicitis; cholecystitis; complication; female; human; laparoscopy; male; middle aged; multimodality cancer therapy; peritonitis; procedures; retrospective study; sepsis; spontaneous perforation; treatment outcome; ulcer perforation; very elderly; young adult; Adolescent; Adult; Aged; Aged; 80 and over; Anti-Bacterial Agents; Appendicitis; Cholecystitis; Combined Modality Therapy; Drainage; Female; Humans; Laparoscopy; Male; Middle Aged; Peptic Ulcer Perforation; Peritonitis; Retrospective Studies; Sepsis; Spontaneous Perforation; Treatment Outcome; Young Adult
• Rights: closedAccess
• License: http://purl.org/coar/access_right/c_14cb