ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Peritoneal Lavage In The Peritonitis Due To Acute Pancreatitis And Biliary Leakage
Dr.Ömer KARAHAN*, Dr.Celalettin VATANSEV*, Dr.Serdar YOL*, Dr.Mustafa ŞAHİN*, Dr.Mehmet AK*, Dr.Cemil ER*
*Selçuk Üniversitesi Tıp Fakültesi Genel Cerrahi AD, KONYA
The aim of this study is to evaluate the role of peritoneal lavage in the treatment of peritonitis due to biliary leakage and acute pancreatitis.
Fifteen patients, 8 acute pancreatites and 7 biliary leakage, treated by peritoneal lavage between 1992-1995 years were included in this study. The patients? charts were rewieved retrospectively. 8 patients were women, 7 patients were men and the range of ages were 18-83 years (mean age, 53). Open peritoneal lavage was performed with a small subumblical incision in the patients diagnosed pancreatites and bile peritonitis by means of laboratory and clinically. Saline solution were given 3-7 times in a day in the amount of 15 ml/kg (mean 4.3 times). THe procedure were continued till the return fluid was clear (3-17 days).
Besides peritoneal lavage, the patients were managed with parenteral fluid and antibiotic administration, and nasogastric tube aspiration.
Two patients, one of them was pancreatites, and another was bile peritonites, died (13.3%). Subdiafragmatic abcess occured in a biliary peritonites patient (6.7%). The results were good in 13 patients and their treatments were completed without any complication.
Peritoneal lavage is considered as a usefull means for the treatment of chemical peritonitis due to pancreatites and bile leakage in the view of an easy method and the clearance of toxic materials from the peritoneal cavity.
As a result, we concluded that, the peritoneal lavage can be used routinely in the treatment of pancreatites and bile peritonites.
Keywords: Pancreatite, Bile leakage, Chemical peritonite, Peritoneal lavage
Turkiye Klinikleri J Med Sci 1996, 16:258-261
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