Staged abdominal repair for treatment of moderate to severe secondary peritonitis

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dc.contributor.authorAğalar, Fatih
dc.contributor.authorEroğlu, Erol
dc.contributor.authorBülbül, Mahmut
dc.contributor.authorAğalar, Canan
dc.contributor.authorTarhan, Ömer Rıdvan
dc.contributor.authorSarı, Mustafa
dc.date.accessioned2020-06-25T17:40:48Z
dc.date.available2020-06-25T17:40:48Z
dc.date.issued2005
dc.departmentKırıkkale Üniversitesi
dc.description.abstractThe aim of this study was to evaluate the effects of planned relaparotomy and to assess factors that may contribute to mortality in patients with moderate to severe secondary peritonitis. A total of 36 consecutive patients with an Acute Physiologic and Clinical Health Evaluation (APACHE) II score of >10 were enrolled the study for a 2-year period. The mean age of the patients was 56 years (17-92 years), and 23% of them were male. One-third of them had postoperative peritonitis; 152 scheduled operations were done, and the overall mortality rate was 36%. For patients whose septic source was in the upper gastrointestinal system, control of the source was more difficult (p = 0.004). Overall, 28 complications developed in 61% of the patients. Initial and second-day APACHE II scores were 14.5 (11-27) and 12.0 (9-25), respectively. The initial APACHE II score of survivors was lower than that of nonsurvivors [p = 0.0001, 95% confidence interval (CI) -9.5, -3.6]. Second-day APACHE II scores were not different (p = 0.19; 95% Cl -3.79, 0.80). Striking end or lateral duodenal leaks were clearly associated with high mortality. It is found that the initial APACHE II score, the success of controlling the source, the occurrence of complications, and the type of illness are independent factors that may affect mortality. We concluded that staged abdominal repair should be used with caution in the treatment of lateral or end duodenal leaks. It is a good alternative to conventional laparotomy for moderate to severe forms of secondary peritonitis from other sources.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1007/s00268-004-7502-5
dc.identifier.endpage244en_US
dc.identifier.issn0364-2313
dc.identifier.issn1432-2323
dc.identifier.issue2en_US
dc.identifier.pmid15645335
dc.identifier.scopus2-s2.0-17744389374
dc.identifier.scopusqualityQ1
dc.identifier.startpage240en_US
dc.identifier.urihttps://doi.org/10.1007/s00268-004-7502-5
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3552
dc.identifier.volume29en_US
dc.identifier.wosWOS:000227179000023
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringeren_US
dc.relation.ispartofWorld Journal Of Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleStaged abdominal repair for treatment of moderate to severe secondary peritonitisen_US
dc.typeArticle

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