A Retrospective Study of Perforation Peritonitis In A Tertiary Care Hospital In Jamshedpur
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Introduction: Perforation peritonitis is the peritoneal inflammation due to reaction of peritoneal cavity to the contents of perforated viscus, namely, gastro intestinal tract, the biliary system, pancreas or genitourinary tract. Gastrointestinal perforations constitute one of the commonest surgical emergency encountered by surgeons.1,2 Since the perforations could be because of injury or lesions of viscus, these are amenable to surgical therapy. Management of these patients continues to be highly demanding despite advances made in diagnosis, surgical management, antibiotics therapy, correction of electrolyte balance and intensive care support. Materials and Methods: Present study was done on total 100 cases of perforation peritonitis, which were admitted in the department of general surgery of M.G.M Medical College and Hospital Jamshedpur, Jharkahnd in a period of 1 year, From December 2016 to November 2017. Results: Total 100 cases of perforation peritonitis were included in this study. Age of the patients ranged from 16 years to 88 years, and 50 (50 %) patients were of more than 50 years of age. 34 (34 %) patients of this study were having one or more preexisting medical illness like respiratory disease, diabetes, hypertension etc. Majority of patients in this study were males (78%). Conclusion: Spectrum of perforation peritonitis is quite different between India and western countries. Upper gastrointestinal perforation (duodenal mainly) are fairly common in India. In present study, NSAIDs consumption is the most important cause of perforation. Wound infection and septicaemia are the major causes of mortality. Early surgical intervention, undercover of broad spectrum antibiotics, preceded by prompt resuscitation measures and correction of electrolyte imbalance are the cornerstone in achieving good outcomes and reducing morbidity and mortality rate.
Authors and Affiliations
Dr. Lakshman Hansda, Dr. Dibakar Hansda
Keywords
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- EP ID EP381148
- DOI 10.9790/0853-1708071113.
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