Relaparotomy for suspected intraperitoneal sepsis after abdominal surgery

摘要: Relaparotomy may be beneficial in patients developing intraperitoneal sepsis after abdominal procedures. We determined whether joint clinical assessment by intensivist and surgeon (clinician assessment) identified with surgically correctable sepsis. also assessed the effect of patient age sex, disease presentation severity, interval to relaparotomy, number relaparotomies on survival relaparotomy. Data clinical, laboratory, radiologic abnormalities prior relaparotomy findings, in-hospital were prospectively collected a general hospital intensive care unit (ICU) database between January 1997 2002. Altogether, 65 1482 (4.4%) admitted ICU surgery underwent at median 5 days initial procedure. There was an 83% probability identifying treatable 43% mortality. Abdominal imaging contributed accurate information 50% cases where clinician uncertain. Patient multiorgan failure relaparotomy-but not urgency laparotomy or acute physiology chronic health evaluation (APACHE II) score relaparotomies-affected outcome. Clinician had high predicting The mortality unlikely greater than nonoperative treatment intraabdominal sepsis, but 78% older 75 years raised doubts about this approach elderly. identification performance earlier might reduce rate (60%) improve it.