ABSTRACT
PIP: The authors report on 7 cases of severe postabortum peritonitis treated with hysterectomy and postoperative perinoteal lavage. The technique consisted of placing the tubes subhepatically, parietocolic on the right, Douglas cul-de-sac on the right, supramesocolic on the midline, in the splenic recess, parietocolic on the left, and Douglas cul-de-sac on the left. Each of the left. Each of the 2-way tubes was irrigated clockwise every hour with a 0.9% sodium chloride solution, at room temperature, in a volume of 24 liters/24 hours at a rate of 1 liter/hour. The lavage lasted for 24-72 hours. Improvement of the toxicoseptic phenomena was obtained within this interval, with rapid resumption of diuresis and natural nutrition. Peritoneal lavage is an efficient procedure, completing the surgical intervention as demonstrated by survival of all patients, with a small number of complications and a brief period of postoperative hospitalization. (author's)^ieng
