Surgical management for the perforation of digestive tract with intraabdominal infection
10.3760/cma.j.cn441530-20230618-00213
- VernacularTitle:消化道穿孔致腹腔感染的外科手术治疗
- Author:
Qinjie LIU
1
;
Jie WU
;
Rong WU
;
Qingsong TAO
Author Information
1. 东南大学附属中大医院普通外科，南京 210009
- Keywords:
Intra-abdominal infection;
Surgery;
Anastomotic leakage
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(9):893-897
- CountryChina
- Language:Chinese
-
Abstract:
Perforation of digestive tract with intra-abdominal infection is one of the common causes of emergency surgery. After the resection with intestine, primary anastomosis or stoma remains a subject of debate. With the continuous improvement of surgical technology and the need to improve patients' quality of life, primary anastomosis is supposed to be the most ideal surgery. However, the rate of stoma is still high due to concerns about postoperative anastomotic leakage. This paper summarizes the surgical treatment of intra-abdominal infection caused by gastrointestinal perforation in recent years, and discuss the best operation plan according to the perforation location and etiology. We also discuss a variety of treatment methods for the prevention of anastomotic leakage (perioperative management, gastrointestinal anastomosis, enteric lavage decompression and other techniques) to improve the primary anastomosis, improve the quality of life of patients and reduce the medical burden.
