Diagnostic Sonography in General Surgery

Hill, Brian; Yamaguchi, Kent T.; Flynn, John J.; Miller, Don R.

doi:10.1001/archsurg.1975.01360150033006

Cited by 15 publications

(2 citation statements)

References 13 publications

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“…However, we are aware that one of the main drawbacks of this strategy is the lack of criteria that help the surgeon to determine the opportune moment of a reoperation [11][12][13][14][15] .…”

Section: Discussionmentioning

confidence: 99%

Application of the predictive abdominal reoperation index for abdominal infection in patients with diagnosis of sepsis of the General Hospital of Mexico Dr. Eduardo Liceaga

Godínez-Vidal¹,

Chaga-Torres²,

Cruz-Romero³

et al. 2023

HGMX

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Background: Despite the improvement in care, recognition and management of multiple organ failure, availability of new antibiotics, advances in diagnostic techniques, and the decision to reintervention in a critically ill patient ultimately depend on a medical judgment. The use of the Abdominal Reoperation Predictive Index (ARPI) among patients with a possibility of reintervention allows the estimation of mortality being susceptible to be abated, reducing the time elapsed between the first operation and the relaparotomy, as well as a shorter stay in intensive care units. Objective: The objectives of this study were to determine the degree of certainty of the ARPI to diagnose the need for reoperation in patients with abdominal sepsis. Materials and Methods: An observational, descriptive, cross-sectional, retrospective study of patients from the General Hospital of Mexico "Eduardo Liceaga" belonging to the clinic of integral care of abdominal sepsis, from January to June 2016, with diagnosis of abdominal sepsis operated urgently by secondary peritonitis. Results: A total of 94 patients were included, 58.5% of male (n = 55) and 41.5% of female (n = 39), with an average age of 48.1 years (Standard mean [SD] ± 17.4). The most frequently injured organ in the initial surgery was the cecal appendix in 39 cases (41.5%) followed by the small intestine in 21 cases (22.3%). Those cases with ARPI scores > 21 were operated on 6 of 8, corresponding to 75% with a score > 21, while of the cases with ARPI score < 20 points reoperated 23 of 86, corresponding to 26.7% with a score < 20 points. Fisher's exact test, p = 0.01, statistically significant. Conclusions: The ARPI may be helpful in guiding the decision-making of laparotomy in patients diagnosed with secondary peritonitis.

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Section: Discussionmentioning

confidence: 99%

Application of the predictive abdominal reoperation index for abdominal infection in patients with diagnosis of sepsis of the General Hospital of Mexico Dr. Eduardo Liceaga

Godínez-Vidal¹,

Chaga-Torres²,

Cruz-Romero³

et al. 2023

HGMX

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“…With ultrasound, abscesses can be detected as fluid collection with an irregular wall and a few internal echoes. The advantage is the convenient bedside diagnosis, the disadvantage the technical problems in patients with overlying gas-filled viscera [17], The diagnostic value of the CT scan is better; however, the transport of a venti lated ICU patient is cumbersome and dangerous. The use of oral contrast material allows one to distinguish bowel loops from abscesses, and the parenteral contrast material visualizes the abscess capsule [18].…”

Section: Diagnosis Of Intra-abdominal Infectionmentioning

confidence: 99%

Diagnosis of Infections in Intensive-Care Unit Patients

Zimmerli

Pargger

1996

Dig Surg

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Fever is a frequent and nonspecific symptom after surgery. If appropriate cutoff values are chosen, C-reactive protein and interleukin-6 are useful parameters of infection in febrile postoperative intensive-care unit patients. The diagnostic workup of febrile critically ill patients should be guided by the underlying condition of the patient, and the clinical suspicion of a specific infection. For the diagnosis of intravascular catheter-related infections, a (semi)quantitative culture method should be used. There is no consensus about the ideal method to diagnose nosocomial pneumonia in ventilated patients. The best documented options are quantitative cultures of a protected specimen brush sample and of the bronchoalveolar lavage.

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A Diagnostic Approach to the Adult With Fever of Unknown Origin

Esposito¹

1979

Arch Intern Med

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Diagnostic Sonography in General Surgery

Cited by 15 publications

References 13 publications

Application of the predictive abdominal reoperation index for abdominal infection in patients with diagnosis of sepsis of the General Hospital of Mexico Dr. Eduardo Liceaga

Application of the predictive abdominal reoperation index for abdominal infection in patients with diagnosis of sepsis of the General Hospital of Mexico Dr. Eduardo Liceaga

Diagnosis of Infections in Intensive-Care Unit Patients

A Diagnostic Approach to the Adult With Fever of Unknown Origin

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