Treatment of septic peritonitis in dog's, primary closure versus open Peritoneal drainage

Abstract

The main points I obtained from this review is that treatment of septic peritonitis has not changed significantly over the last 20 years as from the studies no significant difference has in treatment between open and closed management of treatment .It is however believed that the best judgement of treatment is made by the veterinarian at time operation .It is of his/her own initiative to carry out the appropriate treatment and to follow them true correctly .From the above literature it is remarked that open abdominal drainage technique can only be carried out in those clinics with the available facilities can cope with 24 hour care and the complications. If OPD is considered an appropriate therapeutic option, it would be preferred to refer the dog to a hospital that has adequate monitoring and intensive care facilities. Plasma or synthetic colloid administration is recommended for hypoalbunimemia animals managed with OPD. Further studies of a larger population of animals managed using OPD are warranted to investigate the impact of plasma or synthetic colloid administration on survival. It seems for those patients with a lower character of septic peritonitis and those hospitals which have less ability to control post operative care of the animal should undertake closed management treatment. One should always remember that no matter what treatment is undertaken there are high mortality rates of septic peritonitis. Several surgical methods have been described for the treatment of generalized septic peritonitis in veterinary medicine, yet controversy exists and will always exist as to what method is most effective.9 Before studying the case for treatment of septic peritonitis I thought that open peritoneal drainage had more of an advantage over closed management of treatment. From studying this however my feeling has changed, I now feel that primary closer is a more practical method. It has been proven that mortality rates do not differ between the two methods of treatment. I found that primary closure management as it needs less hospitalised time of the patient, secondary complications and less cost for the owner that its means of treatment is more practical method.