LAUSR

Study Objective To discuss the importance of an early diagnosis of Postoperative Peritonitis in Gynecologic Surgery. Design Case presentation and discussion. Setting Public Hospital, Gynecologic section. Patients or Participants 48 year old patient with recent gynecologic surgery who presented with symtoms of postoperative peritonitis (PP). Explorative Laparoscopy was performed finding a sigmoid perforation which was repaired with double Vycril3.0 stitches. Interventions Operative laparoscopy in a possible postoperative peritonitis setting. Measurements and Main Results Uneventful postoperatory with fever resolution immediately after surgery. Recovered intestinal transit on POD2. Conclusion We believe laparoscopic approach is safe and feasible in patients which are developing an abdominal sepsis and still have a stable haemodynamic status. Most interventions in such scenario are successful, so early diagnosis is desirable.