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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