Management of Acute Secondary Peritonitis

Acute secondary peritonitis is afflicted with a high morbidity. The treatment of the disease should be interdisciplinary. The combination of intensive care therapy, antibiotics and surgical procedures for source control are mandatory. The patients often need relaparotomies and open abdominal lavages. Continuous negative pressure therapy seems to be beneficial. There are several different treatment options for example concerning right point of time, on-demand versus planned, amount of lavage solution used, which solution used, CNP system yes or no, which CNP system, which pressure and many more. We would like to describe the treatment in our clinic and compare it with the existing literature.