Experience of a Continuous Open Peritoneal Irrigation for Massive Arterial Bleeding due to Pancreatic Fistula or Anastomotic Leakage after Surgery for Gastric Cancers

Taira Kinoshita, Keiichi Maruyama, Mitsuru Sasako, Kenzou Okabayashi

National Cancer Center Hospital

Postoperative sudden and massive arterial bleeding caused by pancreatic fistula or suture insufficiency after gastric surgery for cancer is one of the fatal complecation. We developped a new method against this condition-a continuous open peritoneal irrigation. After the ligation of the ruptured artery, an abdominal wound will be kept open for continuous irrigation. Under this condition, activated digestive juice is diluted and removed completely. By using this method recent four consecutive patients recovered from this serious condition. A continuous open peritoneal irrigation seems to be effective agaisnt massive arterial bleeding due to pancreatic fistula or suture insufficiency after surgery for gastric cancer.

Key words
postoperative intraabdominal bleeding, continuous open peritoneal irrigation, gastric surgery

Reprint requests
Taira Kinoshita National Cancer Center Hospital
5-1-1 Tsukiji, Chuo-ku, Tokyo, l04 JAPAN

Accepted
November 19, 1990

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