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The British Journal of Surgery May 2005
Topics: Abdominal Injuries; Humans; Peritoneal Lavage; Tomography, X-Ray Computed; Ultrasonography; Wounds, Nonpenetrating
PubMed: 15852423
DOI: 10.1002/bjs.5003 -
Annales de Chirurgie May 2003
Topics: Acute Disease; Humans; Peritoneal Lavage; Peritonitis
PubMed: 12853016
DOI: 10.1016/s0003-3944(03)00062-2 -
Annals of Emergency Medicine Jul 1988We report the case of a 15-year-old girl who developed high fever, syncope, abdominal pain, nausea and vomiting, myalgia, pharyngitis, and a desquamating rash eight days... (Review)
Review
We report the case of a 15-year-old girl who developed high fever, syncope, abdominal pain, nausea and vomiting, myalgia, pharyngitis, and a desquamating rash eight days after a diagnostic peritoneal lavage. The diagnostic peritoneal lavage wound was erythematous and tender. Incision of the site yielded 10 mL of exudate that cultured Staphylococcus aureus. The patient was treated with a first-generation cephalosporin and recovered without sequelae. To our knowledge, this is the first reported case of toxic shock syndrome following diagnostic peritoneal lavage.
Topics: Abdominal Injuries; Adolescent; Cephapirin; Cephradine; Female; Humans; Peritoneal Lavage; Shock, Septic
PubMed: 3289425
DOI: 10.1016/s0196-0644(88)80626-7 -
The American Journal of Medicine Jul 1950
Topics: Abdomen; Humans; Peritoneal Lavage
PubMed: 15425535
DOI: 10.1016/0002-9343(50)90009-x -
The American Journal of Emergency... Jul 1990A comparison of gastric lavage versus peritoneal lavage rewarming was studied in a hypothermic rabbit model. The gastric lavage group (n = 5) had a mean rewarming time... (Comparative Study)
Comparative Study
A comparison of gastric lavage versus peritoneal lavage rewarming was studied in a hypothermic rabbit model. The gastric lavage group (n = 5) had a mean rewarming time of 136 +/- 25.1 minutes versus the peritoneal lavage group (n = 6) mean rewarming time of 131.7 +/- 27.9 minutes (p = .795). Good correlation was found between tympanic membrane temperature readings and both rectal temperature readings (r = .69) in the gastric lavage group and esophageal temperature readings (r = .90) in the peritoneal lavage group. Gastric lavage and peritoneal lavage have the same rewarming rates in the present hypothermic model.
Topics: Animals; Body Temperature; Gastric Lavage; Heating; Hypothermia; Male; Models, Biological; Peritoneal Lavage; Rabbits; Tympanic Membrane
PubMed: 2363748
DOI: 10.1016/0735-6757(90)90075-b -
American Journal of Veterinary Research Oct 1997To evaluate the effect of peritoneal lavage on pharmacokinetics of gentamicin sulfate in healthy horses after experimental celiotomy. (Clinical Trial)
Clinical Trial Randomized Controlled Trial
OBJECTIVE
To evaluate the effect of peritoneal lavage on pharmacokinetics of gentamicin sulfate in healthy horses after experimental celiotomy.
ANIMALS
13 clinically normal horses.
PROCEDURE
Horses were randomly assigned to control or experimental groups. All horses received gentamicin (6.6 mg/kg of body weight, IV, q 24 h) before surgery, underwent experimental abdominal surgery, and had abdominal drains placed percutaneously. Horses of the experimental group received postoperative peritoneal lavage; horses of the control group did not receive peritoneal lavage. The day after surgery, 24 hours after the preoperative dose of gentamicin, a second dose of gentamicin was administered. Three and 15 hours after this second dose of gentamicin, horses of the experimental group received peritoneal lavage. Venous blood was obtained, for determination of concentration of gentamicin, immediately before and at specified intervals during the 24-hour period after the second dose of gentamicin.
RESULTS
There were no differences in any of the pharmacokinetic values of gentamicin between horses of the control and experimental groups.
CONCLUSIONS
Peritoneal lavage had no effect on pharmacokinetics of gentamicin in healthy horses after abdominal surgery, in which localized nonseptic peritonitis was induced.
CLINICAL RELEVANCE
Peritoneal lavage in horses with localized nonseptic peritonitis or for the prevention of intra-abdominal adhesions should not necessitate alteration of the dosage of gentamicin to maintain predictable serum concentrations.
Topics: Abdomen; Animals; Anti-Bacterial Agents; Ascitic Fluid; Gentamicins; Horse Diseases; Horses; Peritoneal Lavage; Postoperative Care; Postoperative Period; Time Factors; Tissue Adhesions
PubMed: 9328672
DOI: No ID Found -
East African Medical Journal Sep 2002To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method.
OBJECTIVE
To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method.
DESIGN
Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention.
SETTING
Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995.
RESULTS
Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%.
CONCLUSION
Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
Topics: Abdominal Injuries; Adolescent; Adult; Age Distribution; Causality; Cost-Benefit Analysis; Female; Hemoperitoneum; Hospital Costs; Humans; Kenya; Laparotomy; Length of Stay; Male; Middle Aged; Peritoneal Lavage; Prospective Studies; Reagent Strips; Safety; Sensitivity and Specificity; Sex Distribution; Wounds, Nonpenetrating; Wounds, Penetrating
PubMed: 12625685
DOI: 10.4314/eamj.v79i9.9116 -
The Journal of Trauma Jun 1989We reviewed the records of 395 patients seen from January 1983 through May 1988, who after sustaining blunt thoracoabdominal trauma had diagnostic peritoneal lavage...
We reviewed the records of 395 patients seen from January 1983 through May 1988, who after sustaining blunt thoracoabdominal trauma had diagnostic peritoneal lavage (DPL) performed percutaneously by the Seldinger wire technique of Lazarus and Nelson. The test was considered grossly positive if 10 cc of blood were aspirated from the catheter immediately after its insertion into the peritoneal cavity. Microscopic criteria for positivity included more than 100,000 RBC or 500 WBC/cc of lavage return, elevated amylase or bilirubin, or the presence of vegetable fibers or bacteria. Seventy-two (18%) of the patients were true positives and 315 (80%) were true negatives. There were four false positives (1.3%) and one false negative (0.2%), giving the test a sensitivity of 99% and a specificity of 98%. Complications occurred in three patients, for a rate of 0.8%, and included catheter insertion into a large ovarian dermoid cyst, needle perforation of the ileum, and needle perforation of the sigmoid colon. This technique of DPL can consistently be performed much more rapidly than the open method. Therefore we conclude that percutaneous DPL is as accurate as, as safe as, and quicker than open DPL for determining intra-abdominal injury in blunt trauma patients.
Topics: Abdominal Injuries; False Negative Reactions; False Positive Reactions; Humans; Peritoneal Lavage; Punctures; Sensitivity and Specificity; Wounds, Nonpenetrating
PubMed: 2661842
DOI: 10.1097/00005373-198906000-00017 -
Annals of Emergency Medicine Oct 1992
Comparative Study
Topics: Humans; Peritoneal Lavage
PubMed: 1416319
DOI: 10.1016/s0196-0644(05)81781-0 -
The American Journal of Emergency... Jul 1989
Topics: Abdominal Injuries; Humans; Peritoneal Lavage
PubMed: 2735995
DOI: 10.1016/0735-6757(89)90066-1