Post-Operative Peritonitis: Diagnostic Problems, Morbidity and Mortality in Developing Countries

Goal: Study the diagnostic difficulties and post-operative morbidity and mortality of peritonitis. Patients and Methods: Retrospective study about the records of adult patients operated on be-tween 1999 and 2013 whose diagnosis of post-operative peritonitis was made. Results: We achieved 23,573 lantern and record 148 cases of postoperative peritonitis or 0.62%. The medium age was 37.1 ± 17.7 years and the sex ratio was 1.2. The delay between the initial intervention and reo-peration was less than 5 days. Factors occurrence of postoperative peritonitis were those related to the initial surgery: septic context 70.8%, emergency surgery 81.1 % under the seat mesocolic 25 % and 20.3 % initial surgical technique. The diagnosis was made preoperatively in 62.2 % (n = 92). Ultrasound has found an effusion in 29.7 % (n = 44). Cytobactériologic review identified germs in 85.1 % (n = 126) and sterile in 12.9 % of patients (n = 22). The most frequent etiologies were: 22.9 % anastigmatic leak (n = 34), the phoenix abscess in 17.6 % (n = 26), iatrogenic per-foration 13.5 % (n = 20) and digestive fistula 25 % (n = 37). Other causes were the stoical necrosi