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Péritonites postopératoires

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Les infections intra-abdominales aiguës

Part of the book series: Le point sur … ((POINT))

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Abstrait

Les péritonites sont les inflammations aiguës du péritoine. Ces affections sont très hétérogènes. Plusieurs classifications ont été mises au point. La plus utilisée est celle dite de Hambourg (1). Les péritonites secondaires sont liées à la contamination du péritoine par des germes issus du tube digestif (ou de l’arbre biliaire) après lésions de celui-ci. Les péritonites postopératoires (PPO) sont des péritonites secondaires caractérisées par leur survenue après une intervention chirurgicale abdominale. La chirurgie abdominale initiale peut être urgente ou programmée, propre ou contaminée. Par définition, les PPO sont des infections nosocomiales car survenant le plus souvent après 48 heures d’hospitalisation. En revanche, une péritonite nosocomiale survenant à l’hôpital chez un patient non opéré n’est pas considérée comme une PPO. Les péritonites tertiaires sont heureusement devenues rares (2) mais sont presque toutes des PPO.

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Authors and Affiliations

  1. Unité de réanimation polyvalente, Département d’anesthésie-réanimation B, CHU Nord, Place Victor Pauchet, 80054, Amiens Cedex 1

    Hervé Dupont & Yazine Mahjoub

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  1. Hervé Dupont
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  2. Yazine Mahjoub
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  1. Service de réanimation chirurgicale, Hôpital Pontchaillou, 2, rue Henri Le Guilloux, 35033, Rennes Cedex

    Yannick Mallédant  & Philippe Seguin  & 

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Dupont, H., Mahjoub, Y. (2007). Péritonites postopératoires. In: Mallédant, Y., Seguin, P. (eds) Les infections intra-abdominales aiguës. Le point sur …. Springer, Paris. https://doi.org/10.1007/978-2-287-69814-9_7

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  • DOI: https://doi.org/10.1007/978-2-287-69814-9_7

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-69812-5

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