Surgery for Peritonitis and its Principles

by admin on January 24, 2010

Peritonitis is a surgical emergency, in which inflammation of peritoneum takes place. Peritonitis can be generalized or localized, its treatment is explorating the abdomen cavity for cause like perforation of intestines, gangrene, injury or infection and appropriate actions are taken immediately, by closing the perforation.

Principles of Peritonitis Surgery are:

Open abdomen cavity with midline or paramedian incision, if purulent fluid comes out send it for  culture & senstivity, explore the cause & perform procedure like appendicectomy for appendicits, bowel resection for gangrene, closure of any perforation of small and large bowel or uterus.

Remember closing of perforation should be done with non absorbable  sutures, because catgut get easily digested and may reopen perforation.

Give peritioneal wash, drain the fluid out and give tension sutures on abdominal wall.

Watch out the principles of peritonitis surgery in video below

Surgeons operating in above video are Dr Prasad Bhukebag, Dr Ashwini Kumar Singh and Dr Vikram Singh Yadav

What are the clinical features of peritonitis?

Watch out the video below about signs and symptoms of peritonitis explaining cough tenderness, Blumberg’s Sign or Rebound Tenderness, Hippocratic Facies which is the end stage of peritonitis.

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{ 2 comments… read them below or add one }

Chetan Wadate August 16, 2011 at 1:18 am

Hi my brother is diagnosed with Peritonitis and has been admitted to the hospital on 13th of august and he had a kidney stone shown which was gone later but had brown urine which shows jaundice and now doctors are thinking of both medical and surgical procedures. he is 18 yrs of age . i am very worried and am aware of surgical complications is it very risky please reply fast 🙁

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admin August 16, 2011 at 2:04 pm

well Chetan, kindly send us all investigations done to him at our email drvikram008@rediffmail.com so that we can have complete information, just scan all case sheets, investigation and attach to our email.

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