An 18 year old male presented with fulminant meningococcal septicaemia and renal failure. He subsequently developed hyperpyrexia which failed to respond to conventional methods of treatment. Cold peritoneal lavage was employed which resulted in rapid lowering of his core temperature and helped manage his renal failure. The possible causes of the late onset of hyperpyrexia and the use of cold pe...

The prognosis of advanced gastric cancer patients with peritoneal metastasis is extremely poor. We advocate extensive intraoperative peritoneal lavage (EIPL) as a useful and practical adjuvant surgical technique for gastric cancer patients who are likely to suffer from peritoneal recurrence. In this article, we review the ability of EIPL to prevent peritoneal recurrence in patients with periton...

A 40-year-old man suffered severe orthopaedic and maxillo-facial injuries in a motor vehicle accident. After resuscitation he underwent extensive orthopaedic surgery to manage his fractures. A diagnostic peritoneal lavage just prior to his operation revealed a red blood cell count of 0.15 x 10(12)/L and white blood cell count of 3.3 x 10(12)/L. However, as the patient was haemodynamically stabl...

Purpose: To establish and evaluate the feasibility of continuous peritoneal lavage with vacuum peritoneostomy in an animal model. Methods: Eight pigs aged 3-4 months, females, were anesthetized and submitted to laparotomy and installation of a continuous peritoneal lavage with vacuum peritoneostomy. The sta-bility of the system, the physiological effects of washing with NaCl 0.9% and the sy...

objective(s)the purpose of this study holds, for the first time, an evaluation of the intraperitoneal curcumin lavage on the development of post-operative intra-abdominal adhesions.materials and methodsthirty male wistar rats were randomized into five groups. the rats were administered anesthesia and underwent surgery in order to create intra-abdominal adhesions. before the abdomen was closed, ...

PURPOSE To study the effects of peritoneal lavage with a 2% lidocaine solution, on the survival of the rats submitted to peritonitis caused by their own feces. METHODS Forty-eight Wistar rats, weighting between 300 g and 330 g (mean, 311,45 +/-9,67 g), were submitted to laparotomy 6 hours following induction of fecal peritonitis. Animals were randomly divided into four groups of 12 each as fo...

Diagnostic peritoneal lavage (DPL) is a highly accurate test for evaluating intraperitoneal hemorrhage or a ruptured hollow viscus, but is performed less frequently today due to the increased use of focused abdominal sonography for trauma (FAST) and helical computed tomography (CT). All three of these exams have advantages and disadvantages and thus each still play unique roles in the evaluatio...

INTRODUCTION Bacterial peritonitis is a severe medical condition associated with a natural mortality rate of 80-100%. Progress in surgical techniques, new developments in intensive care medicine and antibiotic therapy reduced this rate significantly. Aim of this study was to evaluate sepsis parameter in perforated appendicitis and different postoperative management. METHODS In 50 consecutive ...

The coronavirus disease-2019 (COVID-19) is primarily a disease of the respiratory system and manifested by an infectious pneumonia, with fever, cough breathlessness as most common presenting symptoms.