Prognostic value of gastric tonometry in peritonitis due to intestinal perforation and laparoscopic versus conventional management in the swine model
Strate, T.; Bloechle, C.; Emmermann, A.; Wolf, M.; Zornig, C.; Broelsch, C.E.
Langenbecks Archiv für Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft für Chirurgie. Kongress 115(Suppl I): 471-474
1998
ISSN/ISBN: 0942-2854 PMID: 14518300 Document Number: 492521
After a 12 hour period of experimental peritonitis induced by gastric perforation mortality was significantly higher in the laparoscopically treated group of pigs when compared to the open procedure. In both groups the treatment was simple oversowing of the defect plus peritoneal lavage. Septic shock associated with peritonitis and subsequent "multi organ failure syndrome" could accurately be predicted with gastric tonometry. In both groups the decline of pHi in septic animals that died was higher than expected.