[Surgical therapy of diffuse peritonitis--staged lavage].

Better understanding of pathophysiology and improved techniques of intensive medical care resulted in new concepts of aggressive treatment for diffuse peritonitis. All consider the importance of surgical removal of the infectious focus but also the necessity of further treatment following first surgical intervention in cases of severe peritonitis. No randomised clinical study yet exists. Indication and application of selected therapeutic technique result from clinical criteria and experience. Presently used concepts are described and evaluated from a clinical viewpoint.