What are the complications of intestinal perforation surgery?

Updated: Jul 24, 2020
  • Author: Samy A Azer, MD, PhD, MPH; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Wound infection rates correlate with the bacterial load in the bowel; accordingly, this complication occurs more often with colonic perforation (eg, perforated diverticulitis). The judicious use of prophylactic antibiotics has been demonstrated to reduce the incidence of wound infection in contaminated and potentially contaminated wounds.

Wound failure (partial or total disruption of any or all layers of the operative wound) may occur early (ie, wound dehiscence) or late (ie, incisional hernia). The following factors are associated with wound failure:

Localized abdominal abscess may develop.


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