• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Laparoscopic Management of Generalized Peritonitis

Laparoscopic Management of Generalized Peritonitis

LAPAROSCOPIC MANAGEMENT OF GENERALIZED PERITONITIS
Jorge Fernàndez- Alvarez M.D., Omar Pichardo M.D., Armando Baqueiro M.D., Josè Manuel Gòmez M.D., Francisco Terrazas M.D., Iker Leòn M.D. Gonzalo Vargas MD

Hospital Español de Mèxico.

Objective: In the beginning of laparoscopic surgery, the presence of peritonitis was an absolute contraindication , actually there is controversy about this procedure in patients with peritonitis. We present our expierence in the management of this patology in the Hospital Español de Mèxico( Private General Hospital).
Patients and Methods: In a term of five years (2005-2009) we treatred 73 patients with acute abdomen diagnosis and peritonitis. Thirty one (31) were men and fourty two (42) women, with an average age of 58.4 years (28-83), forty six (63%) of the patients presnted comorbilities ( Hipertension and diabetes mellitus) and fifteen (15) had abdominal surgery before.
Pritonitis in this patients was caused by: apendicitis in 52 cases, diveticulitis in 13 and perforated ulcers in 8. Laparoscopic surgery was contraindicated in patients with hemodynamic instability or coagulopathy.
Tecnique: The patology was surgically (laparoscopic) corrected ( Apendicectomy with Pouchet tecnique, Hartmann’s procedure and primary closure with epiploic patch.), we washed abdominal cavity with 10 liters of physiologic solution and afterwards we placed Jackson-Pratt (closed) drains. All the patients were treated with antibiotics and general anesthesia.
Results: The average surgical time was of 148 minutes ( 60-220). One conversion was made because of technical difficulties.
Post operetory ilium was of 2.7 days (1.5). The average of hospital stay was of six days.
Twelve patients complicated: two residual abscess, three post operatory fever, two atelectasias, one intestinal obstruction, two ports abscess, one with sepsis, and one muliple organ failure.
Two pateints were reoperated. An 82 year patient died with multple organic failure.
Conclusion: Generalized peritonitis could be handled correctly with minimally invasive surgery (Laparoscopic), without any increase in surgical complications and getting all benefits of it, specially the ones related to the abdominal wall.


Session: Poster

Program Number: P147

View Poster

1,015

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals