Timing of reoperation for patients with severe peritonitis.

摘要

Whether the reintervention is performed percutane-ously or via open operation, most surgeons expect that the ultimate outcome will be more favorable if the reintervention occurs sooner rather than later. However, this proposition has no solid data support, other than the observation that patients who are ill with mtra-abdominal infection tend to become more ill as time passes. The more serious the illness at the original intervention, the more serious the penalty for delayed treatment is assumed to be. In addition, the more serious the illness at the original intervention, the more likely it is that another intervention for source control will be required.9 However, in this setting, accurately recognizing the need for reintervention becomes more difficult.