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|Title:||Peritonitis manejada por laparoscopia como método terapéutico eficaz|
|Author:||Becerra Coral L.E.|
Gomez Ceron L.N.
Delgado Bravo A.I.
|Keywords:||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|
|Resume:||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.|
|Full text:||Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru|
|Appears in Collections:||Artículos Científicos|
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