Surgical management for the intra-abdominal infection secondary to perforation of digestive tract

Abstract

Abdominal infection caused by digestive tract perforation is a common cause of emergency surgery. In most cases, resection of the diseased intestinal segment is required. After resection, whether to perform a one-stage anastomosis or a stomy is the key to perplexing clinicians. With the continuous improvement of surgical technology and the increasing demand of patients to improve their quality of life, one-stage resection and anastomosis have become the most ideal surgical method. However, due to the concern about postoperative anastomotic leakage, the clinical practice of postoperative stoma rate is still high. This article reviews the surgical treatment of abdominal infection caused by gastrointestinal perforation in recent years, and discusses various preventive measures for anastomotic leakage after primary anastomosis, so as to improve the rate of primary anastomosis, which is of great significance for improving the quality of life of patients and reducing the medical burden.