Peritonitis: treatments

Peritonitis is often a medical emergency (and even surgical), the patient must then be operated as quickly as possible. In case of inadequate or inadequate management, peritonitis can lead to serious complications or even death of the patient.

The treatment depends in particular on the cause causing the peritonitis. If internal organs are inflamed and perforated, the surgeon may remove the organ in question (for example: gall bladder, appendicitis, or a portion of the intestine), or stitches the perforated organ.

In some cases, too, the surgeon may have to perform a colostomy: placement of an artificial anus (if for example a part of the large intestine, colon must be removed).

The surgeon then proceeds to wash the abdominal cavity, using saline solution to remove accumulations of pus and bacteria that have formed as a result of inflammation and infection.

Also performed is drainage of the abdomen: a very fine tube is introduced into the abdominal cavity to evacuate the exudate, even after the operation. When, in severe cases, drainage is not sufficient, it may be necessary to perform a second lavage of the abdominal cell by surgery.

After the operation, the patient stays in the intensive care unit as generalized peritonitis can lead to severe sepsis, endangering the patient's life.

As part of this intensive care, the patient needs different specific care and careful medical supervision, until the intestine resumes normal functioning (intestinal peristalsis - intestinal movements), and that the heart and blood circulation have stabilized.

Specific care may concern:

  • the placement of an artificial anus (colostomy),
  • artificial respiration (ventilation),
  • feeding by a gastric tube.

The patient is also given antibiotics and painkillers.

In rare cases, when peritonitis has been diagnosed early and provided that no other organ is inflamed or injured, antibiotic therapy may be sufficient to treat peritonitis without the need for surgery.

You want to react, to give your testimony or to ask a question? Appointment in our thematic FORUMS or A doctor answers you !

Popular Posts

Category Diseases, Next Article

Zika: the symptoms - Diseases

Zika: the symptoms

The duration of incubation of Zika virus disease, ie the time between exposure to the virus and the onset of symptoms, is not well known. But it is likely to last a few days. In case of Zika virus infection, only one in five people develop symptoms within a few days of the bite. A Zika virus infection is often asymptomatic (without symptoms), so the disease often remains unnoticed
Read More
Delirious puff: the sources - Diseases

Delirious puff: the sources

- Diagnostic and Statistical Manual of Mental Illnesses IV (DSM-IV), Short Psychotic Disorder. - JP Vignat, Psychopathology of the acute delirium, Psychiatric Care, Vol 35 - N ° 291 - March 2014. Updated : January 2017 - Dr. Ada Picard
Read More
Mastosis: sources and notes - Diseases

Mastosis: sources and notes

Author : Hélène Hodac Expert consultant: Dr. Alain Tamborini, gynecologist. Sources: The Big Book of Gynecology, French National College of Gynecologists Obstetricians, Eyrolles, 2013. P. Tranbaloc, Benign neoplasms and complex mastopathies - Pathologist's point of view, 26th SFSPM Days, 2006.
Read More
Renal insufficiency: the causes - Diseases

Renal insufficiency: the causes

High blood pressure and diabetes are the two leading causes of chronic kidney failure. Seniors are also more affected by this disease, because with age the kidneys age, work less well and become the preferred target of complications. After 40 years, the kidneys diminish in size and volume. The number of nephrons also decreases and at age 80, a person has lost nearly 40% of his renal function
Read More