Treatment of appendiceal peritonitis

: The results of treatment of 223 patients with acute appendicitis, complicated with advanced (51) and local (172) peritonitis have been analysed. Antibacterial treatment was conducted with account to the results of bacteriological analysis of the peritoneal exudate. Enterobacteria and non-spore anaerobic microorganisms, sensitive to the 2d and 3d generation cephalosporins, aminoglycosides and metronidazole, were prevailing. Non-use of abdominal drains and provisional wound sutures made it possible to decrease the duration of in-hospital period to 12.7 days (15.4 days in general peritonitis; 11.8 days local peritonitis). The mortality rate was 0.4%.