Abstract:This study suggests that laparoscopic washout for PD peritonitis is as effective as open washout, but is quicker and less painful with earlier return of bowel function.
“…In laparoscopic surgery, two reports showed no benefit of washout to avoid subsequent open treatment or allowing salvage of infected catheters. Another one study compared the prognosis in 20 patients who had open washout and another 20 patients who had laparoscopic washout. Three patients from each group (15%) required further open surgery because of ongoing sepsis with worsening signs of peritonitis.…”
In the management of refractory peritonitis, pelvic drainage during removal of dialysis catheter decreases the risk of subsequent intra-abdominal complications and invasive interventions.
“…In laparoscopic surgery, two reports showed no benefit of washout to avoid subsequent open treatment or allowing salvage of infected catheters. Another one study compared the prognosis in 20 patients who had open washout and another 20 patients who had laparoscopic washout. Three patients from each group (15%) required further open surgery because of ongoing sepsis with worsening signs of peritonitis.…”
In the management of refractory peritonitis, pelvic drainage during removal of dialysis catheter decreases the risk of subsequent intra-abdominal complications and invasive interventions.
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