INTRA-ABDOMINAL INFECTION AND ACUTE ABDOMEN-EPIDEMIOLOGY, DIAGNOSIS AND GENERAL PRINCIPLES OF SURGICAL MANAGEMENT
Intra-abdominal infections are multifactorial and present an complex inflammatory response of the peritoneum to microorganisms followed by exudation in the abdominal cavity and systemic response Despite advances in management and critical care of patients with acute generalized peritonitis due to ho...
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| Format: | Article |
| Language: | English |
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Association of medical doctors Sanamed Novi Pazar
2015-03-01
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| Series: | Sanamed |
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| Online Access: | http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/20/13 |
| _version_ | 1797285659744927744 |
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| author | Jovanović Dušan Lončar Zlatibor Doklestić Krstina Karamarković Aleksandar |
| author_facet | Jovanović Dušan Lončar Zlatibor Doklestić Krstina Karamarković Aleksandar |
| author_sort | Jovanović Dušan |
| collection | DOAJ |
| description | Intra-abdominal infections are multifactorial and present an complex inflammatory response of the peritoneum to microorganisms followed by exudation in the abdominal cavity and systemic response Despite advances in management and critical care of patients with acute generalized peritonitis due to hollow viscus perforation, prognosis is still very poor, with high mortality rate. Early detection and adequate treatment is essential to minimize complications in the patient with acute abdomen. Prognostic evaluation of complicated IAI by modern scoring systems is important to assess the severity and the prognosis of the disease. Control of the septic source can be achieved either by nonoperative or operative means. Nonoperative interventional procedures include percutaneous drainages of abscesses. The management of primary peritonitis is non-surgical and antibiotic- treatment. The management of secondary peritonitis include surgery
to control the source of infection, removal of toxins, bacteria, and necrotic tissue, antibiotic therapy, supportive therapy and nutrition. "Source control" is sine qua non of success and adequate surgical procedure involves closure or resection of any openings into the gastrointestinal tract, resection of inflamed tissue and drainage of all abdominal and pelivic collections. |
| first_indexed | 2024-03-07T18:05:27Z |
| format | Article |
| id | doaj.art-45ef6260e32644bb977cfd896bb6dc9c |
| institution | Directory Open Access Journal |
| issn | 1452-662X 2217-8171 |
| language | English |
| last_indexed | 2024-03-07T18:05:27Z |
| publishDate | 2015-03-01 |
| publisher | Association of medical doctors Sanamed Novi Pazar |
| record_format | Article |
| series | Sanamed |
| spelling | doaj.art-45ef6260e32644bb977cfd896bb6dc9c2024-03-02T09:18:18ZengAssociation of medical doctors Sanamed Novi PazarSanamed1452-662X2217-81712015-03-01101697810.5937/sanamed1501069JINTRA-ABDOMINAL INFECTION AND ACUTE ABDOMEN-EPIDEMIOLOGY, DIAGNOSIS AND GENERAL PRINCIPLES OF SURGICAL MANAGEMENTJovanović Dušan0Lončar Zlatibor1Doklestić Krstina2Karamarković Aleksandar3Clinic for Emergency Surgery, Clinical Center of Serbia, Belgrade, SerbiaClinic for Emergency Surgery, Clinical Center of Serbia, Belgrade, Serbia + Faculty of Medicine, University of Belgrade, SerbiaClinic for Emergency Surgery, Clinical Center of Serbia, Belgrade, Serbia + Faculty of Medicine, University of Belgrade, SerbiaClinic for Emergency Surgery, Clinical Center of Serbia, Belgrade, Serbia + Faculty of Medicine, University of Belgrade, SerbiaIntra-abdominal infections are multifactorial and present an complex inflammatory response of the peritoneum to microorganisms followed by exudation in the abdominal cavity and systemic response Despite advances in management and critical care of patients with acute generalized peritonitis due to hollow viscus perforation, prognosis is still very poor, with high mortality rate. Early detection and adequate treatment is essential to minimize complications in the patient with acute abdomen. Prognostic evaluation of complicated IAI by modern scoring systems is important to assess the severity and the prognosis of the disease. Control of the septic source can be achieved either by nonoperative or operative means. Nonoperative interventional procedures include percutaneous drainages of abscesses. The management of primary peritonitis is non-surgical and antibiotic- treatment. The management of secondary peritonitis include surgery to control the source of infection, removal of toxins, bacteria, and necrotic tissue, antibiotic therapy, supportive therapy and nutrition. "Source control" is sine qua non of success and adequate surgical procedure involves closure or resection of any openings into the gastrointestinal tract, resection of inflamed tissue and drainage of all abdominal and pelivic collections.http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/20/13Intra-abdominal infectionsecondary peritonitissource controlsurgery. |
| spellingShingle | Jovanović Dušan Lončar Zlatibor Doklestić Krstina Karamarković Aleksandar INTRA-ABDOMINAL INFECTION AND ACUTE ABDOMEN-EPIDEMIOLOGY, DIAGNOSIS AND GENERAL PRINCIPLES OF SURGICAL MANAGEMENT Sanamed Intra-abdominal infection secondary peritonitis source control surgery. |
| title | INTRA-ABDOMINAL INFECTION AND ACUTE ABDOMEN-EPIDEMIOLOGY, DIAGNOSIS AND GENERAL PRINCIPLES OF SURGICAL MANAGEMENT |
| title_full | INTRA-ABDOMINAL INFECTION AND ACUTE ABDOMEN-EPIDEMIOLOGY, DIAGNOSIS AND GENERAL PRINCIPLES OF SURGICAL MANAGEMENT |
| title_fullStr | INTRA-ABDOMINAL INFECTION AND ACUTE ABDOMEN-EPIDEMIOLOGY, DIAGNOSIS AND GENERAL PRINCIPLES OF SURGICAL MANAGEMENT |
| title_full_unstemmed | INTRA-ABDOMINAL INFECTION AND ACUTE ABDOMEN-EPIDEMIOLOGY, DIAGNOSIS AND GENERAL PRINCIPLES OF SURGICAL MANAGEMENT |
| title_short | INTRA-ABDOMINAL INFECTION AND ACUTE ABDOMEN-EPIDEMIOLOGY, DIAGNOSIS AND GENERAL PRINCIPLES OF SURGICAL MANAGEMENT |
| title_sort | intra abdominal infection and acute abdomen epidemiology diagnosis and general principles of surgical management |
| topic | Intra-abdominal infection secondary peritonitis source control surgery. |
| url | http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/20/13 |
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