SEKONDER PERÝTONÝTLERDE KAYNAK KONTROLÜNÜN ÖNEMÝ

IMPORTANCE OF SOURCE CONTROL IN SECONDARY PERITONITIS

AIMS: lnthis study we discussed retrospectively secondary peritonitis patients, surgical treatment modalities and their effectiveness in our clinic.
Materials&METHODOLOGY: 91 patients were operated due to diffuse peritonitis between December 1998 through July 200 1 in our clinic were analysed by age, sex, etiology of peritonitis, treatment modalities, morbidity and mortality.
RESULTS: 32 patients were female (35.2%) and 59 patients were male (64.8 %). The median age was 40.4. The most common etiologic factor for secondary peritonitis is peptic ulcus perforation (38.4%).23 cases (25.2%) had the diagnosis only by physical examination and laboratory assesment. The other cases diagnosed with roentgenographic evaluation. In the first operation, the aim was the source control and eradication. In 3 cases, planned re-laparotomy "staged abdominal repair" (STAR) were perfom1ed. Conservative treatment modality was perfonned for 8 cases. The median hospital stay for the patients were 7.4 day. Morbidity was encountered in 13 (13.6%) and mortality was encountered in2 (2.1%).
CONCLUSION: Source control must be the primary aim of the first operation for secondary peritonitis patients. If there is an uncertinity for source control, STAR procedure shold be the choice of the treatment modality for decrease morbidity and mortality.