PERFORATION PERITONITIS: A STUDY OF 300 CASES IN JNIMS IMPHAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 21
Abstract
To study the causes and outcome of perforation peritonitis in a newly established Medical College for a period of three years. [b]MATERIALS AND METHODS[/b]: Three hundred cases of Perforation Peritonitis admitted in the General Surgery ward of JN Institute of Medical Sciences Hospital, Porompat, Imphal from January 2011 up to December 2013 who underwent exploratory laparotomy were studied. Preoperative diagnosis was done by clinical examination and investigations like Chest X ray erect, USG whole abdomen. In select doubtful cases, CECT abdomen was done. After initial resuscitation and confirmation of diagnosis, exploratory laparotomy was done. [b]RESULTS[/b]: The most common site of perforation was Duodenal followed by Appendicular, Ileal, Jejunal, Gastric, Multiple site and Colorectal perforations. Primary closure of the perforation site was the commonest procedure followed by appendicectomy, resection anastomosis of bowel and colostomy. The overall mortality was 5%. [b]CONCLUSION:[/b] Perforation peritonitis continues to be one of the most common surgical emergencies in India, inspite of advances in diagnosis and treatment. Early diagnosis and prompt management is the key to reduce morbidity and mortality.
Authors and Affiliations
Rosemary Vumkhoching, Ningombam Jitendra, Dhanabir Thangjam, Kh. Ibomcha Singh
Keywords
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- EP ID EP164090
- DOI 10.14260/jemds/2015/525
- Views 87
- Downloads 0
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