Technical difficulties and countermeasures in the source control of intra-abdominal sepsis
10.19538/j.cjps.issn1005-2208.2019.06.09
- Author:
Yi-peng ZHU
1
;
Wei-ming ZHU
1
Author Information
1. Department of General Surgery,Jinling Hospital,Southeast University, General Hospital of Eastern Military Command of PLA Nanjing 210002,China
- Publication Type:Journal Article
- Keywords:
intra-abdominal infections;
source control;
percutaneous drainage surgery;
open abdomen
- From:
Chinese Journal of Practical Surgery
2019;39(06):561-564
- CountryChina
- Language:Chinese
-
Abstract:
Source control of intra-abdominal infections is an important part in the treatment of intra-abdominal sepsis,which mainly includes drainage,elimination of necrotic tissue,control of sepsis as well as restoration of anatomy and function of gastrointestinal tract.Source control should be taken immediately after ascertaining intra-abdominal infections.Specific measures of source control include percutaneous drainage,surgery,open abdomen and antimicrobial therapy.The key to percutaneous drainage is accurate location and adequate drainage.When performing surgical drainage,extent of trauma should be restricted while accurate location and avoiding omissions.Accurate timing of open abdomenand definitive abdominal closure,proper selection of temporary abdominal closure method,avoiding complications of OA,and enteral nutrition are essentials of successful definitive abdominal closure and reduction of complications.Effective antimicrobial therapy relies on time,type selection and avoiding antibiotic abuse.Factors should be searched for rigorously after failure to control intra-abdominal sepsis.Comprehensive global treatment is not only the basis but also the countermeasure of source control.
