Complicaciones sépticas intraabdominales tras apendicectomía laparoscópica: descripción de una posible nueva complicación específica de la apendicectomía laparoscópica

Soler-Dorda, Guillermo; Fernández-Díaz, María José; Martín-Parra, Ignacio; Alonso-Gayón, José Luis; Conty-Serrano, Jose Luis; Andrés-Fuertes, María Antonia de; Bárcena-Barros, José María

doi:10.1016/s0009-739x(07)71656-1

Cited by 4 publications

(2 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, results deriving from some studies involving humans have indicated that laparoscopic surgery may be appropriate in the treatment of peritonitis, particularly within 12 h of the development of the condition 8 . On the other hand, Ortega and Tang 9 state that technical difficulties may arise during laparoscopic procedures performed in the presence of infection which, depending on the intensity of the inflammatory process, can increase the risk of abdominal sepsis and lead to specific complications as explained by Serour 10 and Soler-Dorda G 11 . These authors prefer to be cautious concerning the application of laparoscopy in such situations and suggest that further research is required to reveal the severity of the problem 9,10,11 .…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, Ortega and Tang 9 state that technical difficulties may arise during laparoscopic procedures performed in the presence of infection which, depending on the intensity of the inflammatory process, can increase the risk of abdominal sepsis and lead to specific complications as explained by Serour 10 and Soler-Dorda G 11 . These authors prefer to be cautious concerning the application of laparoscopy in such situations and suggest that further research is required to reveal the severity of the problem 9,10,11 . In order to expand our knowledge concerning induced peritonitis, and to improve our understanding of the physiopathology of abdominal sepsis, we have evaluated the efficacy of performing CL and CLP using a laparoscopic technique employing an elastic band rather than conventional silk thread to create the cecal sac.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical and histological responses to laparoscopically-induced peritonitis in rats

et al. 2008

View full text Add to dashboard Cite

Purpose:To evaluate the efficacy of inducing peritonitis in rats through laparoscopic cecal ligation (CL), by means of an elastic band. Methods: Twelve Wistar rats were subjected to cecal ligated with an elastic band applied using a specially constructed applicator. In six of the animals (the CL group) the cecal sac was preserved intact whilst in the remaining animals (the CLP group) the sac was perforated with scissors. Clinical parameters, characteristics of the peritoneal cavity and cecum, and histological features of the cecal tissue were observed in all experimental animals 8 and 24 h after surgery. Results: CLP animals exhibited at least one clinical sign of sepsis within the first 8 h of observation. The peritoneal liquid was observed to be clear in almost all members of the CLP. Polymorphonucleated cells were detected in the tunica serosa of the cecum of CLP animals. In contrast, all members of the CL group were alive after 24h, and of polymorphonucleated cells in the muscle layer of the cecal wall were observed. The presence of peritoneal liquid was not detected in CL animals. Conclusion: Although elastic ligation of the cecum was reproducible, puncture of the cecal sac was essential for induction of sepsis. Key words: Models, Animal. Peritonitis. Laparoscopy. Rats. RESUMOObjetivo: Avaliar a eficácia de induzir peritonite em ratos através da ligadura cecal laparoscópica (CL), por meio de banda elástica. Métodos: Doze ratos Wistar foram submetidos a ligadura cecal com banda elástica aplicada com dispositivo especialmente construído para este fim. Em seis animais (grupo CL), a bolsa cecal foi mantida intacta, enquanto nos outros animais (grupo CLP), a bolsa foi perfurada com tesoura. Parâmetros clínicos, características da cavidade peritonial e ceco, e histologia do tecido cecal foram examinados em todos os animais 8 e 24 horas após a cirurgia. Resultados: Os animais do grupo CLP apresentaram pelo menos um sinal clínico de sepses nas primeiras 8 h de observação. Líquido peritonial claro foi observado em quase todos os membros do grupo CLP. Leucócitos polimorfonucleares foram identificados na serosa do ceco dos animais do grupo CLP. Por outro lado, todos os animais do grupo CL estavam vivos após 24 h, e leucócitos polimorfonucleares estavam restritos à muscular própria. Presença de líquido peritonial não foi detectada nos animais do grupo CL. Conclusão: A ligadura elástica do ceco foi reprodutível e a secção da bolsa cecal foi essencial para a indução de sepse. Descritores: Modelos Animais. Peritonite. Laparoscopia. Ratos.

show abstract