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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 18, No. 2, 2013, pp. 40-44
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Bioline Code: js13027
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 18, No. 2, 2013, pp. 40-44
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LaparostomicTreatment of Diffuse Peritonitis in Northern Uganda.
Mari, G.; Abonga, J.; Olin, J.; Komakech, M.; Ojom, L.; Origi, M.; Costanzi, A. & Brown, P.
Abstract
We report a series of 10 cases of patients who were admitted in our hospital for abdominal pain and
respiratory distress. All patients underwent explorative laparotomy. Intra-operative findings were
incarcerated abdomen with fibrin covered ileus and free pus. Surgical treatment was therefore
Laparostomic approach with peritoneal lavage for all of them. Patients were re-operated every 48
h for peritoneal lavage. Number of re-laparotomy was 4,5 ± 1,7. No patients required intestinal
resection. Abdominal wall definitive closure was done when peritonitis was solved and bowel
function was restored. 3 patients died. The 7 survived patients were discharged at 19 ± 5,8 days with
a clean wound and no signs of ongoing sepsis. Laparostomic treatment of generalized peritonitis is
actually possible and effective also in potentially infected environment as a Northern Uganda
Surgical Ward. Avoidance of iatrogenic bowel injury is a main factor in patient’s outcome.
Keywords
Bacterial infection; Diagnosis; Surgery; laparostomy; laparostomic treatment; peritonitis; uterine perforation; second look
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© Copyright 2013 - East and Central African Journal of Surgery
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