A member asked:

Whats difference between contained anastomotic leak and a free anastomatic leak ?

A doctor has provided 1 answer
Dr. Hunter Handsfield answered

Specializes in Infectious Disease

Local vs peritonitis: Presumably this refers to an intra-abdominal anastamosis, likely intestinal. "Contained" means the leak was probably slow and there was time for an inflammatory reaction that kept the leak localized and maybe small. Free means intestinal contents leaked more widely into the abdominal cavity. Free is much more serious, usually with peritonitis. Most important that you discuss with your surgeon.

Answered 8/12/2015

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