2008
DOI: 10.1590/s0102-86502008000100009
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Abstract: The use of a higher intra-abdominal pressure was associated with a higher bacterial dissemination to the liver. The application of lower intra-abdominal pressures may be associated with a lower dissemination of the infectious status during laparoscopic approach of peritonitis status.

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Cited by 2 publications
(2 citation statements)
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“…Although peritonitis used to be commonly considered a contraindication to laparoscopy, because of the theoretical concern that the CO2 pneumoperitoneum that may enhance bacteraemia and endotoxemia due to the increased intraperitoneal pressure (Nordentoft et al 2000 ), the latest guidelines by EAES and most of the clinical and experimental studies support the concept that laparoscopy and minimally invasive surgery are able to produce a less inflammatory response with a less risk of kidney and lung failure, less trauma and tissue damage than open surgery (Uzunkoy et al 2012 ; Pitombo 2008 ; Montalto et al 2012 ; Metzelder et al 2008 ; Hsieh et al 2011 ; Horattas et al 2003 ; Hanly et al 2003 ; Casaroli et al 2011 ; Barbaros et al 2004 ; Kesici et al 2011 ; Collet e Silva et al 2000 ; Neudecker et al 2002 ). In fact, over the past few years there has been an increasing number of studies on the use of laparoscopy in the treatment of peritonitis reporting favourable results (Sauerland et al 2006 ; Branicki 2002 ; Di Saverio 2014 ; Cueto 1997 ; Agresta et al 2006 ; Kirshtein 2003 ; Agresta et al 2004 ; Sangrasi et al 2013 ; Agresta et al 2012 ).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although peritonitis used to be commonly considered a contraindication to laparoscopy, because of the theoretical concern that the CO2 pneumoperitoneum that may enhance bacteraemia and endotoxemia due to the increased intraperitoneal pressure (Nordentoft et al 2000 ), the latest guidelines by EAES and most of the clinical and experimental studies support the concept that laparoscopy and minimally invasive surgery are able to produce a less inflammatory response with a less risk of kidney and lung failure, less trauma and tissue damage than open surgery (Uzunkoy et al 2012 ; Pitombo 2008 ; Montalto et al 2012 ; Metzelder et al 2008 ; Hsieh et al 2011 ; Horattas et al 2003 ; Hanly et al 2003 ; Casaroli et al 2011 ; Barbaros et al 2004 ; Kesici et al 2011 ; Collet e Silva et al 2000 ; Neudecker et al 2002 ). In fact, over the past few years there has been an increasing number of studies on the use of laparoscopy in the treatment of peritonitis reporting favourable results (Sauerland et al 2006 ; Branicki 2002 ; Di Saverio 2014 ; Cueto 1997 ; Agresta et al 2006 ; Kirshtein 2003 ; Agresta et al 2004 ; Sangrasi et al 2013 ; Agresta et al 2012 ).…”
Section: Discussionmentioning
confidence: 99%
“…Historically, the presence of faecal peritonitis has been considered as a contraindication to laparoscopy, because of the theoretical risk of malignant hypercapnia, due to an increased absorption of carbon dioxide in the presence of severe intra-abdominal infection and inflammation of the peritoneum, and, secondly, because of the risk of toxic shock syndrome by increased passage of toxins and bacteria into the circulation favoured by the high intraperitoneal pressure. Recently, this controversial issue has been further investigated and the benefits of laparoscopy have been demonstrated also in case of peritonitis (Uzunkoy et al 2012 ; Pitombo 2008 ; Montalto et al 2012 ; Metzelder et al 2008 ; Hsieh et al 2011 ; Horattas et al 2003 ; Hanly et al 2003 ; Casaroli et al 2011 ; Barbaros et al 2004 ).…”
Section: Introductionmentioning
confidence: 99%