Advanced age, underlying diabetes mellitus, and postoperative TPN treatment were found to be independent risk factors for postoperative secondary peritonitis
in patients who underwent oncologic upper GIT surgery (Table 4).
To the best of our knowledge all the data in the English literature concerning systemic inflammatory response during abdominal surgery for secondary peritonitis
are derived from animal models.
"Mortality and morbidity of planned relaparotomy versus relaparotomy on demand for secondary peritonitis
(Br J Surg 2004; 91: 1046-1054),"Br J Surg, Vol.91(12), pp.1653
Laparostomy in patients with severe secondary peritonitis
. Ulus Travma Acil Cerrahi Derg 2009;15:52-57.
Common causes of secondary peritonitis
include a ruptured (split) stomach ulcer, a burst appendix, pancreatitis (inflammation of the pancreas), severe trauma to the abdomen such as a knife or gunshot wound, and digestive disorders.
Validation of MPI and PIA II in two different groups of patients with secondary peritonitis
. Hepatogastroenterology 2001;48(37):147-51.
Meta-analysis of relaparotomy for secondary peritonitis
. Br J Surg 2002;89(12):1516-1524.
This therapy has been described in several types of IAI, such as purulent, fecal, and secondary peritonitis
Clinical study and management of secondary peritonitis
due to perforated hollow viscous.
Primary peritonitis occurs mainly through haematogenous dissemination, secondary peritonitis
is caused by resident flora subsequent to the loss of integrity of a hollow viscus, while non-responding secondary peritonitis
either due to failure of the host inflammatory response or overwhelming superinfection leads to tertiary peritonitis.
Patients classified as having secondary peritonitis
, which was diagnosed when one of the following features were present.
is often caused by introduction of an infection into the otherwise sterile peritoneal environment through perforation of bowel, introduction of chemically irritating material such as gastric acid from a perforated ulcer.