What surgery is done for peritonitis?

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asked Nov 4 in Other- Health by Tanniefrance (1,280 points)
What surgery is done for peritonitis?

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answered Nov 4 by cabbagehead (23,370 points)
edited Nov 4 by cabbagehead
The surgery that is done for peritonitis is often the resectioning of a perforated viscus with reanastomosis or the creation of the fistula.

Lavage of the abdominal cavity may also be performed to reduce bacterial load.

For generalized peritonitis a vertical midline incision is often used to access your entire peritoneal cavity.

For localized peritonitis an incision is made directly over the site of the infection, like the right subcostal or RLQ incision.

For unclear etiology an initial diagnostic laparoscopy may be used to determine the cause.

For acute diffuse peritonitis laparoscopic surgery is often done.

For severe secondary peritonitis a midline laparatopmy is often performed to identify and eliminate the source of infection.

For perforation of your left colon the perforated segment may be resected and the proximal end exteriorized as an end colostomy.

In some cases your abdomen may be left open after surgery to allow your intestine to swell.

Peritonitis can be cured in most cases with antibiotics.

Antibiotics for treatment of peritonitis are given intravenously to treat the infection and prevent it from spreading.

If antibiotics are not enough then surgery may be needed to remove the infected tissue and treat the cause of peritonitis.

In uncomplicated peritonitis sometimes a course of 5 to 7 days of antibiotic therapy is adequate enough.

The cause of death from peritonitis is often from sepsis which is a fast moving and serious infection which spreads through your body and causes organ failure, shock and eventually death.

Other causes of death from peritonitis are dehydration and organ failure as well as electrolyte disturbance.

Peritonitis can also stop your intestines from moving as they normally should and in turn it can lead to severe fluid loss and dehydration.

The odds of surviving peritonitis with prompt medical treatment is as high as 70 to 80 percent.

The mortality rate however for postoperative peritonitis is high and ranges from 30 percent to 50 percent.

The odds of surviving peritonitis also depend on your age, the type of peritonitis and how quickly you get treated for peritonitis.

The length of time you can survive with peritonitis is a couple of days if it's left untreated.

When it's treated most people recover and live a normal life expectancy but you must get prompt medical attention to increase your chances of surviving peritonitis.

The 4 stages of peritonitis are contamination, dissemination, inflammation and resolution or loculation.

Someone with untreated peritonitis can die within a few days.

People who are at risk for peritonitis are people who undergo peritoneal dialysis and people with liver disease, kidney failure, weakened immune system, people with ascites and people who have stomach ulcers, appendicitis, Crohn's disease and pancreatitis.

Peritonitis pain is located in your abdomen and the pain with peritonitis can feel like a severe or sharp pain which can get worse when you move or touch your abdomen.

The abdomen will also often be tender and may look or feel bloated with peritonitis.

Peritonitis can hurt very bad or can cause dull aches depending on how severe the peritonitis is.

In the beginning of peritonitis you may only experience dull aches and then it can get worse and lead to severe and sharp pain.

The pain with peritonitis can also get worse when you touch your abdomen or when you move around.

The number one cause of peritonitis is a secondary infection that is caused by a hole or a rupture in an organ in your abdomen such as your colon or stomach.

Peritonitis can be caused by a burst appendix, a perforated stomach ulcer, a perforated intestinal ulcer from diverticulitis or inflammatory bowel disease, a ruptured tubo ovarian abscess from pelvic inflammatory disease or a result of a ruptured ectopic pregnancy.

One of the first signs of peritonitis is belly pain or tenderness and bloating or a feeling of fullness in your abdomen and fever.

The symptoms of early stage peritonitis include.

Confusion.

Feeling Tired.

Thirst.

Bloating or feeling full in your abdomen.

Difficulty passing stool or gas.

Reduced urine output.

Nausea and vomiting.

Loss of appetite.

Chills and fever.

Pain and tenderness or swelling in your abdomen.

Peritonitis is a condition that occurs when your abdominal cavity becomes inflamed and injured.

Symptoms of peritonitis can vary from person to person and peritonitis is often treated with surgery, drainage or even antibiotics.

The first indication of peritonitis are belly pain or tenderness and bloating or a feeling of fullness in your abdomen and fever.

Peritonitis is a life threatening condition and requires emergency treatment.

During peritonitis the tissue which lines your abdomen becomes infected or inflamed.

Peritonitis is usually caused by a bacterial infection although peritonitis can also be caused by irritating bodily fluids.

Bacteria can enter your peritoneum through a hole in your gastrointestinal tract like through a burst appendix or a hole in your colon.

Complications of peritonitis are acute respiratory distress syndrome, scar tissue in your peritoneum, abnormal blood clotting and sepsis.

Treatment for peritonitis requires hospitalization, antibiotics and sometimes surgery and if left untreated peritonitis can be fatal.

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