SURGICAL TECHNIQUES OF

INTRAABDOMINAL
INFECTION
ABDOMINAL PAIN

Abdominal pain may be caused

by infectious, inflammatory, or neoplastic
processes.

The management of abdominal pain varies

by etiology, and accurate diagnosis is key
to avoiding inappropriate treatment.
BURST ABDOMINAL

Abdominal discharge
Defect of abdominal fascia and peritoneum
Concurrent with infection or without infection
Abdominal pain and fever are sign of abdominal
infection

Indication of surgery

- Abnormal abdominal mass

- Abdominal abscess (tubo-ovarian abscess)
Patients who have undergone at least 48
hours of medical management with
appropriate antibiotics and have failed to
achieve a clinical response are candidates for
surgical intervention.

Typically, a positive clinical response is

defined as relief of pain, normalization
of body temperature, decrease in
leukocytosis, and improvement in
sonographic features
 Operative management addresses the
need to control the infectious source and to
purge bacteria and toxins

The general principles guiding the treatment

of infections are 4-fold, as follows[13] :

Control the infectious source

Eliminate bacteria and toxins
Maintain organ system function
Control the inflammatory process
Currently, surgical intervention is
recommended for three situations :
1) when there is concern for an
alternative surgical emergency, such as
appendicitis,
cholecystitis, bowel obstruction, or bowel
perforation,
2) failure of clinical response after 48-72
hours of medical management
3) intraabdominal rupture of mass, resulting
in peritonitis and a surgical emergency