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Revista Cubana de Cirugía

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


MESA IZQUIERDO, Orlando et al. Morbidity and Mortality due to Secondary Peritonitis in the Surgery Service. Rev Cubana Cir [online]. 2019, vol.58, n.2, e794.  Epub June 03, 2019. ISSN 0034-7493.


Secondary peritonitis is caused by contamination of the peritoneal cavity. It continues to be a serious disease with high morbidity and mortality.

Objective: To determine morbidity and mortality due to secondary peritonitis in the Surgery Department of Comandante Pinares General Teaching Hospital.


A descriptive, prospective and observational study was carried out with patients admitted to the general surgery service with secondary peritonitis between October 2015 and March 2018. From a population of 40 patients, a sample of 36 patients who met the inclusion criteria was chosen. Descriptive statistical methods and calculations with percentage values were used.


The highest incidence corresponds to the male sex 19 (52.8%), with a predominance of the group between 50 and 69 years old (38.9%); smoking is the most frequent comorbidity, accounting for 52.8% of patients; the most represented complications were the perforation syndrome, which caused 22.2% of the peritonitis, followed by intestinal occlusion (16.7%), paralytic ileus (25%) and the electrolyte and acid-base imbalance (19.4 %); 52.8% of patients underwent laparotomy with large-scale lavage of the abdominal cavity, the rest received scheduled laparotomy (33.3%) or on demand (13.9%); 77.8% of patients were discharged alive, while 22.2% (8 patients) died.


Morbidity and mortality in patients with secondary peritonitis continues to be a health problem that requires timely diagnosis and intervention.

Keywords : secondary peritonitis; morbidity; mortality.

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