The continuous postoperative peritoneal lavage diffuse peritonitis in acute: preliminary communication
El lavado peritoneal postoperatorio continuo peritonitis difusas en las agudas: comunicación preliminar
Resumen:
ntinuous postoperative peritoneal lavage may help to reduce that rate. According to severa! experimental data, it is based upon the convenience of removingby mechanical means the maximum possible bacterial population from the peritoneum in order to make an effective local defense easier. Based upon theirstill short experienc-e, the authors point out the principal points in the_ techniques of performance ( care:f ul placing of the infusion and drainage tube-s, us-e ofa lavage solution with antibiotics in Jarge quantíties and wit.h continuous infusion) and of control (bacteriological, hydroelectrolitical, and of volume). They also analize the principal mishaps ( obstruction of the drainage tubes, appearence of intraperitoneal liquid shortcircuits, loss of liquid through parietal fissures), and som-e accidents ( superhydration, potasic and proteic depletion) which may occur during the performance of the technique.
Las peritonitis difusas agudas graves continúan presentando una mortalidad elevad•a. El lavado peritoneal po,stloperatorio continuo puede constituir un gesto terapéutico, adyuvanteque colabore a reducirla. Se fundamenta, de acuerdo a múltiples trabajos experimentales, e,n la conveniencia de remover por medios mecáni·coiS la mayor población bacteriana posible del peritoneo para facilitar una, defensa local más eficaz. Basad,os en su aún corta experiencia,los autores exponen 1os principales puntos ·de la técntica de realización (cuidadosa colocación de las vías de infusi,ón y de drenaje, uso de soluciónde lavado con antibiótlicos en gasto alto e infusión continua) y de control (volumétrico, bacteriológico, hidroelectrolítico). Analizan además los principales incidentes (obstrucción delos tubos de drelllaje, formaci-ón de cortocircuitos líquidos intraperitoneales, escape del líquido por soluciones de continuidad parietales) Y accidentes (1sobrebid,rataci-ón, depleción potásica y proteica) que pueden sobrevenir en el. curso de su realización.
1976 | |
peritonitis cirugía peritonitis surgery |
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Español | |
Sociedad de Cirugía del Uruguay | |
Revista Cirugía del Uruguay | |
https://revista.scu.org.uy/index.php/cir_urug/article/view/2718 | |
Acceso abierto |
Sumario: | ntinuous postoperative peritoneal lavage may help to reduce that rate. According to severa! experimental data, it is based upon the convenience of removingby mechanical means the maximum possible bacterial population from the peritoneum in order to make an effective local defense easier. Based upon theirstill short experienc-e, the authors point out the principal points in the_ techniques of performance ( care:f ul placing of the infusion and drainage tube-s, us-e ofa lavage solution with antibiotics in Jarge quantíties and wit.h continuous infusion) and of control (bacteriological, hydroelectrolitical, and of volume). They also analize the principal mishaps ( obstruction of the drainage tubes, appearence of intraperitoneal liquid shortcircuits, loss of liquid through parietal fissures), and som-e accidents ( superhydration, potasic and proteic depletion) which may occur during the performance of the technique. |
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