Journal of the American Veterinary Medical Association · 1987 · 72 citations · 0 references
Veterinary MedicineVeterinary MicrobiologyVeterinary SurgeryCanine Internal MedicineDiagnostic MicrobiologyFeline Internal MedicineGastrointestinal InfectionsGastrointestinal PerforationVeterinary BacteriologyDuodenal PerforationMedical Records ReviewOpen Surgical DrainageOverall MortalityPeritoneal ClosurePeritoneal DrainagePeritonitis SurgeryPeritonitis Treatment
The medical records of 22 dogs and 2 cats in which generalized peritonitis had been treated by open peritoneal drainage were reviewed. The age of the affected animals ranged from 5 months to 14 years. The causes of peritonitis were numerous, with the most common being leakage of gastrointestinal contents through spontaneous gastric or intestinal perforations and peritoneal contamination resulting from surgical complications. Bacteria were isolated from 18 (94.7%) of 19 specimens obtained for culturing at the time of diagnosis of peritonitis and from 8 (80%) of 10 specimens obtained for culturing at the time of final abdominal closure. Only 2 (25%) of 8 of the animals in which bacteria were isolated at the time of final abdominal closure died. The overall mortality was 33%. The mortality attributable to peritonitis or its direct complications was 21%. Open peritoneal drainage was tolerated well by all patients.