Laparostomy for the Surgical Treatment of Diffuse Peritonitis

  • W. Barthlen
  • H. Bartels
  • M. Hölscher
Conference paper


The therapeutical concept of programmed relaparotomy, as applied at our institution in the treatment of diffuse peritonitis, procedurally does not permit leaving the abdomen unclosed. Instead, following removal or elimination of the infectious source (focus sanitation) and meticulous debridement of the abdominal cavity with lavage, the abdominal wall is primarily closed without drainage. This procedure is repeated at fixed 48-h intervals until the peritonitis subsides. A final “control relaparotomy” is then performed as a form of insurance that the infection has in fact cleared. When early sanitation of the source of infection proves surgically impossible, however, extraperitonization of the septic focus through placement of a laparostomy must be attempted.


Infected Pancreatic Necrosis Diffuse Peritonitis Microbiological Contamination Marlex Mesh Septic Focus 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • W. Barthlen
  • H. Bartels
  • M. Hölscher

There are no affiliations available

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