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Management of the Contaminated Operation

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Chassin's Operative Strategy in General Surgery

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Abstract

This chapter describes basic principles of conduct for contaminated operations. These include (among others) surgery for peritonitis, perforation, dead bowel, strangulation obstruction, and abscess. General principles are stressed, and specific tactics for dealing with difficult situations are discussed.

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Further Reading

  • Ambrosetti P, Gervaz P, Fossung-Wiblishauser A. Sigmoid diverticulitis in 2011: many questions, few answers. Colorectal Dis. 2012;14(8):e439–46.

    Article  PubMed  CAS  Google Scholar 

  • Anaya DA, Nathens AB. Risk factors for severe sepsis in secondary peritonitis. Surg Infect (Larchmt). 2003;4:355–62.

    Article  Google Scholar 

  • Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R, Reinhart K, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med. 2008;36:296–327.

    Article  PubMed  Google Scholar 

  • Holzheimer RG, Gathof B. Re-operation for complicated secondary peritonitis – how to identify patients at risk for persistent sepsis. Eur J Med Res. 2003;27:125–34.

    Google Scholar 

  • Holzknecht BJ, Thorup J, Arendrup MC, Andersen S, Steensen M, Hesselfeldt P, Nielsen JM, Knudsen JD. Decreasing candidaemia rate in abdominal surgery patients after introduction of fluconazole prophylaxis. Clin Microbiol Infect. 2011;17:1372–80.

    PubMed  CAS  Google Scholar 

  • Koperna T, Schulz F. Relaparotomy in peritonitis: prognosis and treatment of patients with persisting intraabdominal infection. World J Surg. 2000;24:32–7.

    Article  PubMed  CAS  Google Scholar 

  • Morgan K, Mansker D, Adams DB. Not just for trauma patients: damage control laparotomy in pancreatic surgery. J Gastrointest Surg. 2010;14:768–72.

    Article  PubMed  Google Scholar 

  • Napoli AM, Seigel TA. The role of lactate clearance in the resuscitation bundle. Crit Care. 2011;15:199.

    Article  PubMed  Google Scholar 

  • Reid K, Pockney P, Dragnaic B, Smith SR. Barrier wound protection system decreases surgical site infection in open elective colorectal surgery: a randomized clinical trial. Dis Colon Rectum. 2010;53:1374–80.

    Article  PubMed  Google Scholar 

  • Smith JW, Garrison RN, Matheson PJ, Franklin GA, Harbrecht BG, Richardson JD. Direct peritoneal resuscitation accelerates primary abdominal wall closure after damage control surgery. J Am Coll Surg. 2010;210:658–67.

    Article  PubMed  Google Scholar 

  • Waibel BH, Rotondo MF. Damage control in trauma and abdominal sepsis. Crit Care Med. 2010;38:S421–30.

    Article  PubMed  Google Scholar 

  • Waibel BH, Rotondo MF. Damage control for intra-abdominal sepsis. Surg Clin North Am. 2012;92:243–57.

    Article  PubMed  Google Scholar 

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Acknowledgment

This chapter was contributed by Claudia L. Corwin, MD, in the previous edition.

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Authors and Affiliations

  1. Department of Surgery, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 4622 JCP, Iowa City, IA, 52242, USA

    Carol E. H. Scott-Conner MD, PhD

  2. Department of Surgery, New York University School of Medicine, New York, NY, USA

    Jameson L. Chassin MD

Authors
  1. Carol E. H. Scott-Conner MD, PhD
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  2. Jameson L. Chassin MD
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Corresponding author

Correspondence to Carol E. H. Scott-Conner MD, PhD .

Editor information

Editors and Affiliations

  1. College of Medicine Department of Surgery, University of Iowa Roy J and Lucille A Carver, Iowa City, Iowa, USA

    Carol E.H. Scott-Conner

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© 2014 Springer Science+Business Media New York

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Scott-Conner, C.E.H., Chassin, J.L. (2014). Management of the Contaminated Operation. In: Scott-Conner, C. (eds) Chassin's Operative Strategy in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1393-6_7

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  • DOI: https://doi.org/10.1007/978-1-4614-1393-6_7

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1392-9

  • Online ISBN: 978-1-4614-1393-6

  • eBook Packages: MedicineMedicine (R0)

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