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Debridement and “Peritoneal Toilet”

  • John Bohnen
Chapter
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Abstract

• The degree of peritoneal contamination correlates with the severity of infection and outcome. • The host responds to peritoneal infection by absorbing pathogens into the bloodstream and by mounting a local peritoneal inflammatory reaction; both responses kill bacteria but affect the host adversely. • The goal of peritoneal toilet is to remove mechanically as many contaminants as possible to reduce the severity of infection and limit adverse host responses. • Surgically aggressive forms of peritoneal debridement may remove more contaminating material, but at the cost of increased resources and adverse effects. Their value is controversial.

Keywords

Peritoneal Cavity Peritoneal Lavage Source Control Abdominal Infection Temporary Abdominal Closure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer-Verlag Berlin Heidelberg 2003

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  • John Bohnen

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