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 [6-10].
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.
Secondary peritonitis 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.
