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Revista Cubana de Cirugía

Print version ISSN 0034-7493On-line version ISSN 1561-2945


MORALES DIAZ, Ignacio Armando; DELGADO ALONSO, Ada  and  PEREZ MIGUELES, Leandro. Spreading intra-abdominal sepsis: analysis of 110 patients operated on during 10 years. Rev Cubana Cir [online]. 2009, vol.48, n.4. ISSN 0034-7493.

INTRODUCTION: Care of patients presenting with spreading intra-abdominal sepsis continues presenting behavior variations. Despite therapeutical advances, mortality rates are still high, and fluctuate between 30% and 60%. Sometimes, such fluctuation is influenced by sample selection. The main objective of present paper was to know the behavior of spreading intra-abdominal sepsis between 1995 and 2005 in our institution. METHODS: Authors made a retrospective and prospective study of patients presenting with spreading intra-abdominal sepsis, operated on between 1995 and 2005 in General Surgery Service of "Joaquín Abarrán" Clinical Surgical Teaching Hospital. A total of 119 clinical records and 49 necropsy protocols were reviewed. Age groups, more frequent pathologies, symptoms and sings, diagnosis effectiveness, treatment methods, complications, causal germs, and mortality were studied. RESULTS: There were 49 deceased (41, 1%) and a mortality increment of 3% was confirmed, compared with past year, basically due to raise in number of intestinal suture dehiscences, occurred in 22,5% of deceased by a lack of early surgical decision. Most of these patients presented with onco-proliferative diseases. The more used local treatment was the closed one (72 patients; 60, 5%). In general, there was an appropriate fulfillment of work algorithm used in the service.

Keywords : Spreading intra-abdominal sepsis; SIS; re-laparotomy; mortality; intensive treatment.

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