Extensive peritoneal lavage decreases postoperative C-reactive protein concentrations: a RCT

Carlo De Cicco, Ron Schonman, Anastasia Ussia, Philippe R. Koninckx*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Although extensive lavage is useful in peritoneal infections as diverticulitis, the extent of peritoneal lavage that should be used at the end of surgery is unclear. A randomised controlled trial comparing standard lavage with 0.5 litre (L) with extensive 8-L lavage was performed in 20 consecutive patients, following a full thickness resection of the rectum for deep endometriosis. Randomisation was done by the research nurse using sealed envelopes. Endpoints were C-reactive protein (CRP) concentration, white blood cell (WBC) count, temperature and the occurrence of complications. After lavage with 8 L, the CRP concentrations were consistently lower than that after lavage with 0.5 L and this from day 1 to day 7 after surgery (P = 0.01). Rigorous peritoneal lavage seems preferable when a risk of pelvic contamination exists. Clinicaltrials.gov

Original languageEnglish
Pages (from-to)271-274
Number of pages4
JournalGynecological Surgery
Volume12
Issue number4
DOIs
StatePublished - 1 Nov 2015

Keywords

  • Adhesion formation
  • Bowel perforation
  • Endometriosis
  • Laparoscopy
  • Peritoneal lavage
  • Peritonitis

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