{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:43:27Z","timestamp":1747183407602,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T00:00:00Z","timestamp":1548115200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The primary concern with laparoscopic intraoperative peritoneal lavage (IOPL) for generalized peritonitis relates to the difficulty and uncertainty in ensuring adequate washout of contaminated fluid. Here, we describe a new method of laparoscopy\u2010assisted IOPL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed emergency surgery in 10 patients with generalized peritonitis necessitating IOPL. A small wound retractor was inserted into the abdominal cavity through an incision and elevated to raise the abdominal wall. More than 3\u2010L saline was injected via the retractor at one time. The abdomen was manually shaken by pressure from outside the body. Contaminated fluid was removed with a long suction device through the retractor. This procedure was repeated until the fluid was confirmed to be transparent by laparoscopy, and then drains were placed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median lavage time was 23.5\u2009minutes (range, 15\u201034\u2009minutes), and volume of lavage fluid was 19\u2009L (range, 10\u201020\u2009L). Median time to resumption of fluid intake was 3\u2009days (range, 1\u201012\u2009days), time to food intake was 6\u2009days (range, 3\u201014\u2009days), and time to first bowel movement was 5\u2009days (range, 3\u201010\u2009days). Median duration of antibiotic use was 8.5\u2009days (range, 5\u201015\u2009days). Complications were one case of antibiotic\u2010induced rash, two cases of paralytic ileus, and one case of pelvic abscess. All patients recovered well without additional surgical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This new approach to laparoscopy\u2010assisted IOPL was feasible for these patients with generalized peritonitis. This procedure enabled corpus lavage to be performed in a similarly short time to open surgery but with less invasiveness. Further research is needed to confirm indications and long\u2010term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12685","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T06:21:52Z","timestamp":1548310912000},"page":"89-94","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Novel approach to intraoperative peritoneal lavage with an extracorporeal stirring method in laparoscopic surgery for generalized peritonitis: Preliminary results"],"prefix":"10.1111","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4546-5488","authenticated-orcid":false,"given":"Kohei","family":"Yasui","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological Surgery Aichi Medical University  Nagakute 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