Advertisement

Verschleppte appendizitische Perforationsperitonitis: Der Stellenwert umfassender intraoperativer Peritonealtoilette

  • G. Meiser
  • K. Meissner
Conference paper

Zusammenfassung

Das Krankheitsbild der diffusen fibrinös-eitrigen Peritonitis infolge perforativer Appendizitiden wird von vergleichsweise niedriger Letalität [1, 6,16–18] bei hoher Morbidität [1, 4–7, 9, 13, 17, 18, 20] geprägt, die wiederum die Konsequenz der mikrobiellen Infektion der freien Bauchhöhle darstellt. Häufigkeit und Schweregrad dieser septischen Komplikationen gehen mit dem Verschleppungsgrad der Erkrankung konform.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Andersson A, Bergdahl L (1978) Acute appendicitis in patients over sixty. Am Surg 44: 445–447PubMedGoogle Scholar
  2. 2.
    Encke A, Böttcher W (1979) Das Vorgehen bei Perforationsperitonitis, Vorbereitung und Zeitpunkt der Operation. Langenbecks Arch Chir (Kongreßber 1979 ) 349: 491–494CrossRefGoogle Scholar
  3. 3.
    Eykyn SJ, Phillips I (1978) Metronidazole in surgical infections. J Antimicrob Chemother 4: 75–81PubMedGoogle Scholar
  4. 4.
    Foster GE, Bourke JB, Hollyday A, Doran J, Balfour TW, Hardcastle JD, Marshall DJ (1979) Metronodazole and appendicectomy: the clinical and economic consequences of a wound infection. R Soc Med Internat Congr Symp Series No 18. Academic Press, London, pp 105–109Google Scholar
  5. 5.
    Gjessing J, Tomlin PJ (1976) Acute appendicitis and continuous peritoneal lavage. Anaesth Intensive Care 4: 347–350PubMedGoogle Scholar
  6. 6.
    Janik JS, Firor HV (1979) Pediatric appendicitis. Arch Surg 114: 717–719PubMedGoogle Scholar
  7. 7.
    Leigh DA (1978) Indications for antibiotic prophylaxis and treatment in patients undergoing appendicectomy. J Antimicrob Chemother 4: 15–23PubMedCrossRefGoogle Scholar
  8. 8.
    McMahon MJ, Greenall MJ, Cooke EM (1979) The prevention of wound infection after appendicectomy by intravenously administered Metronidazole. R Soc Med Internat Congr Symp Series No 18. Academic Press, London, pp 133–136Google Scholar
  9. 9.
    Marchildon MB, Dudgeon DL (1977) Perforated appendicitis. Ann Surg 185: 84–87PubMedCrossRefGoogle Scholar
  10. 10.
    Morris WT, Ellis-Pegler RB, Innes DB (1979) The influence of Metronidazole and Cefazolin on post-appendicectomy wound sepsis. R Soc Med Internat Congr Symp Series No 18. Academic Press, London, pp 129–131Google Scholar
  11. 11.
    Muduli H, Pauwaa MC, Saperstein L (1979) A study of 300 consecutive cases of acute appendicitis in an urban ghetto community. J Abdom Surg 21: 2–7Google Scholar
  12. 12.
    Palm A, Renkonen OV, Aromaa U (1979) Ornidazole and anaerobic bacteria: in vitro sensitivity and effects on wound infections after appendectomy. J Infect Dis 139: 586–589CrossRefGoogle Scholar
  13. 13.
    Perovic S, Maksimovic LJ, Djaja M, Tonic LT (1978) Prophylaxis of adhesions with trasylol in cases of perforated appendicitis in children. J Int Med Res 6: 89–93PubMedGoogle Scholar
  14. 14.
    Pieper R, Kager L, Lindberg AA, Nord CE (1979) Acute appendicitis and bacteroides fragilis. Scand J Infect Dis 11: 92–97Google Scholar
  15. 15.
    Pinto DJ, Sanderson PJ (1979) Rationalization of antibiotic therapy after appendicectomy. R Soc Med Internat Congr Symp Series No 18. Academic Press London, pp 119–123Google Scholar
  16. 16.
    Piroth P, Gharib M, Krumme H (1978) Perforierte Appendizitis im Kindesalter: Bauchhöhlen-drainage? Chir Prax 24: 297–302Google Scholar
  17. 17.
    Scher KS, Coil JA (1980) The continuing challenge of perforating appendicitis. Surg Gynecol Obstet 150: 535–538PubMedGoogle Scholar
  18. 18.
    Schwöbel MG, Pochon JP (1979) Schwere postoperative Komplikationen bei Appendicitis perforativa im Kindesalter. Z Kinderchir Grenzgeb 26: 20–27Google Scholar
  19. 19.
    Simonowitz DA, White TT (1979) Postoperative complications of appendectomy (including adhesions). Clin Gastroenterol 8: 429–441PubMedGoogle Scholar
  20. 20.
    Stewart DJ, Matheson NA (1978) Peritoneal lavage in appendicular peritonitis. Br J Surg 65: 54–56PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin-Heidelberg 1984

Authors and Affiliations

  • G. Meiser
    • 1
  • K. Meissner
    • 1
  1. 1.Chirurgische AbteilungA.ö. Krankenhaus TamswegTamswegAustria

Personalised recommendations