Planned reoperation for generalized XXXX .

@entity1 @entity1320 @entity204 @entity2466
@entity1320 remains a common cause of @entity204 in surgical @entity1 . Progress in this area with improved survival rates is difficult to demonstrate despite the use of antibiotics, nutritional support, and aggressive maintenance of function of failed organs. This report documents our experience with planned reoperation to cleanse the abdominal cavity in 77 @entity1 with generalized @entity1320 . In 34 of the @entity1 , reoperation to cleanse the abdominal cavity was performed every 24 to 48 hours after the first operation until the abdominal cavity was judged to be clean. Forty-three @entity1 underwent a single operation for intraabdominal contamination and were treated expectantly, only undergoing reoperation for signs of recurrent infection. In all @entity1 , the hole in the intestinal tract was controlled primarily by stoma formation at the initial operation to treat @entity1320 . @entity1 with @entity2466 were excluded. The severity of illness in the two @entity1 groups was compared by a modified acute physiologic score. Planned reoperation was not associated with improvement in survival when compared with @entity1 managed expectantly. @entity1 managed by planned reoperation had significantly more laparotomies than @entity1 managed expectantly without improving survival. The results of this study disclosed that empiric reoperation to clean the abdominal cavity in @entity1 with generalized @entity1320 produced no improvement in survival when compared with observation and reoperation when indicated.
