脓毒症是全球孕产妇死亡率和发病率的主要原因。腹膜积脓是产后败血症的严重和危及生命的表现。长期以来,广谱抗生素的使用和剖腹手术的脓液引流一直是治疗产妇腹膜积脓的基石。在这一系列的六个案例中,讨论了成功的腹腔镜治疗产后腹膜积脓的方法。后者提供了手术视野放大视图的优点,彻底灌洗和引流,避免做长切口探查腹部,导致更快的恢复,更少的痛苦,患者满意度更高,降低经济负担。
Sepsis is a leading cause of maternal mortality and morbidity worldwide.
Pyoperitoneum is a grave and life-threatening manifestation of puerperal sepsis. Administration of broad-spectrum antibiotics and drainage of pus by laparotomy has long been the cornerstone of treatment for
pyoperitoneum in a parturient. In this series of six cases, the successful laparoscopic management of postpartum
pyoperitoneum is discussed. The latter offers the advantage of a magnified view of the surgical field, thorough lavage and drainage, and avoidance of long incisions to explore the abdomen, resulting in faster recovery, less pain, greater patient satisfaction, and lower economic burden.