Table 2: Criteria for reintervention in peritonitis.

Criteria for

conservative

behaviour

Criteria for

conservative

behavior

Criteria for

rapid

reintervention

Criteria for

rapid

reintervention

• Diuresis preserved (+ 40 ml/hour)

• Stable cardiocirculatory state without the need for vasopressor amines and, above all, without having to progressively increase the doses

• Lack of general toxic and infectious signs

• Lack of abdominal signs of diffusion; intestinal transit preserved or restored and decreased nasogastric tube fluid output

Rapid disappearance of the alarm sign that led to a suspected diagnosis of postoperative peritonitis

Slightly elevated neutrophil polymorphonuclear count or, if clearly elevated, a marked drop in values compared to the previous figure

Easily correctable functional renal failure

Lack of indication for assisted ventilation or prolongation of ventilation in a patient without preoperative respiratory failure

Oligo-anuria

Insufficient cardiocirculatory status with increasing deterioration

Insufficient cardiocirculatory status with increasing deterioration

Lack of satisfactory clinical and laboratory response to intensive medical treatment

Abdominal signs of propagation; lack of resumption of intestinal transit or secondary arrest

Elevated rate of leukocytosis

Persistence of renal failure despite intensive medical treatment or worsening of renal failure

Need for assisted ventilation

Source: Study data.

Adapted from: Parc Y, et al.17