This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 3. Gastrointestinal Disorders Chapter 25.
Anastomotic dehiscence is a serious problem that also requires early reoperation.
Talc or starch used on gloves can produce a peculiar granulomatous reaction manifested by protracted postoperative ileus, tenderness, and fever. It usually is self-limited and resolves in a matter of weeks. This reaction is usually diagnosed by a secondary laparotomy, which rules out other complications. Starch can be identified under reflected light by the presence of Maltese-cross granules. Fungal peritonitis, usually with Candida , can occur, especially in postoperative patients who have had persistent peritonitis treated with antibiotics.