Peritoneal lavage

Jergens, Mark E.

doi:10.1016/0002-9610(77)90546-3

Cited by 16 publications

(3 citation statements)

References 8 publications

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“…It is usual for 700-800 ml to be returned. (8) The flask is then inspected for blood-staining. If it is heavily blood-stained such that one cannot read newsprint through the flask, this is a positive lavage result.…”

Section: Peritoneal Lavagementioning

confidence: 99%

“…The initial clinical assessment of the patient who has sustained blunt abdominal trauma and the subsequent decision whether or not to proceed to early laparotomy is often difficult, particularly if there are associated injuries . '- 8 Four quadrant needle paracentesis has been employed as a diagnostic aid, but suffers from a significant number of false positive and false negative results ' -I 1 .…”

Section: Introductionmentioning

confidence: 99%

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Experience With Diagnostic Peritoneal Lavage in Blunt Abdominal Trauma

Grigg

Masterton

1983

Australian and New Zealand Journal of Surgery

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Fifty‐one patients who had suffered blunt abdominal trauma were assessed clinically and with diagnostic peritoneal lavage. The latter has been shown to be a safe, accurate means of determining the presence or absence of haemoperitoneum. Furthermore, in patients with disturbed conscious states, the initial clinical assessment has been found to be inaccurate and the performance of diagnostic peritoneal lavage has resulted in a statistically significant increase in diagnostic accuracy (P = 0.006). However, in patients with a normal conscious state, the improvement in diagnostic accuracy achieved by the performance of diagnostic peritoneal lavage was not statistically significant. The technique of diagnostic peritoneal lavage is discussed in detail.

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Section: Peritoneal Lavagementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Experience With Diagnostic Peritoneal Lavage in Blunt Abdominal Trauma

Grigg

Masterton

1983

Australian and New Zealand Journal of Surgery

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“…4 Peritoneal lavage consists of using variable amounts of a liquid, usually normal saline, in order to washout the peritoneal cavity. 5 It is believed that peritoneal lavage can washout the microorganisms, as well as inflammatory cytokines and blood from the peritoneal cavity, which can improve the inflammatory state and decrease the growth rate of the bacteria. 6 It is now reported that Gentamicin-Clindamycin Lavage (GCL) after elective colorectal surgeries can improve survival in patients with colorectal tumors.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the effect of gentamicin-clindamycin lavage on post-operational pain and infection through laparoscopic colectomy surgery

Negahi

Arminfar

Vaseghi

et al. 2020

Journal of Coloproctology

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Introduction Peritoneal antibiotic or normal saline lavage is seen to be beneficial in order to reduce the pain or infection risk through laparoscopic surgeries. It can also be applied for laparoscopic colectomy surgeries. In this study, we have compared the effects of antibiotic solution lavage (gentamycin-clindamycin) with normal saline lavage in patients undergoing laparoscopic colectomy surgery. Method In this double-blind Randomized Controlled Trial (RCT), 40 patients undergoing laparoscopic colectomy surgery were divided into antibiotic and normal saline lavage groups (20 patients in each group). Post-operational pain, need for painkiller, white blood cells count, C-reactive protein level, duration of hospitalization and wound infection were compared in 30 days between the groups. Results Antibiotic lavage group had significantly less pain than the normal saline group (p < 0.05) through 3, 6, 12 and 24 h after surgery. C-reactive protein level, white blood cells count, painkiller use, and hospitalization duration were significantly lower in antibiotic group. However, there was no difference regarding wound or intra-abdominal infection between the both groups. Conclusion Using gentamicin-clindamycin peritonea lavage helps patients undergoing laparoscopic colectomy surgery in pain reduction, need for painkillers and hospitalization duration.

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Protein electrophoresis of diagnostic peritoneal lavage in penetrating abdominal trauma: A marker of significant injury

McDonald

Muckart

1989

British Journal of Surgery

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Protein electrophoresis of diagnostic peritoneal lavage fluid has been shown in experimental work to be a marker of hollow viscus injury. In order to ascertain the value of this investigation in penetrating abdominal trauma, we conducted a prospective study, over a 4-month period, involving 35 patients with stab wounds to the abdomen whose initial clinical examination was equivocal. The results of electrophoresis were compared with the standard quantitative criteria for diagnostic lavage and the operative findings. Protein electrophoresis was found to be a more sensitive and specific marker of significant intra-abdominal injury than the standard quantitative criteria.

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Peritoneal lavage

Cited by 16 publications

References 8 publications

Experience With Diagnostic Peritoneal Lavage in Blunt Abdominal Trauma

Experience With Diagnostic Peritoneal Lavage in Blunt Abdominal Trauma

Evaluating the effect of gentamicin-clindamycin lavage on post-operational pain and infection through laparoscopic colectomy surgery

Protein electrophoresis of diagnostic peritoneal lavage in penetrating abdominal trauma: A marker of significant injury

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