CURRENT SURGICAL THERAPY OF SECONDARY PERITONITIS

Secondary (perforative) peritonitis (SP) represents the most common and most difficult form of generalized inflammation of peritoneum caused by pathologic or traumatic perforations of the hollow organs of the digestive and/or genitourinary tract or post-surgery dehiscence of their anastomosis and suture (1). SP is a specific and complex intra-abdominal infection of polymicrobial origin, where the kinds of microorganisms which can be isolated from peritoneal fluid match the damaged segments of the digestive tract (2). The bacterial causes of SP are mixed aerobe-anaerobe intestinal flora with synergistic pathogenic effect, and the most common are Escherichia coli among aerobe and Bacteroides among anaerobe (1,2).