Study of spectrum of Perforative peritonitis: A prospective study of 300 cases
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 10
Abstract
Background: Perforative peritonitis (PP) is one of the commonest surgical emergencies in Asian countries and India. The PP aetiology in Asian countries remains different from Western countries. Aims and Objectives: The study was aimed at highlighting the spectrum of PP as encountered by us at BRD Medical College Gorakhpur. Materials and methods: Three hundred patients who were admitted in surgical ward of BRD Medical College, Gorakhur were studied from September 2015 to October 2016. All the subjects of this cohort were diagnosed with PP. Results: In this study 300 cases of PP were included, this cases accounts for 25% of total surgical abdominal emergency admissions. With 44% cases of duodenal perforation was the commonest reported cause of PP. Morbidity and mortality were directly associated to the time period between emergence and surgical intervention and most importantly the amount of contamination in peritoneal cavity. Other interpreters were co-morbid situations, site of perforation, post-operative complications and older age of the patient. Mortality rate was 14%, highest in duodenal perforation and least in appendicular perforations. Conclusion: Better understanding of aetiological factors, prompt medical facilities and good postoperative care needs are essential improve the outcome reduce mortalities.
Authors and Affiliations
Dr. Sandesh Kumar Shrivastava, Dr. UC Singh
Keywords
Related Articles
- EP ID EP588035
- DOI -
- Views 177
- Downloads 0
Study of malarial fever in pediatric patients in clinical symptoms
The aim the present study was to find out the spectrum of clinical manifestations, infecting species, age distribution and mortality in admitted patients of malaria in the selected population. The study has planned in An...
Multiple myeloma associated a breast cancer in the same patient: A case report at the department of clinical hematology of University Hospital of Yopougon, Abidjan (Côte d’Ivoire)
Multiple myeloma is a hematological malignancy whose clone derived from the B-lymphocytes. The bone pain, the anemia, the increased blood calcium, the bone lesions are evocate as the symptôms. Breast cancer is a solid tu...
Psychosocial and Health related issues among Elderly Population in a Rural Population of Barabanki, Uttar Pradesh
Background: Population ageing is recognised international reality in both developed and developing countries like India. The present cross-sectional study was undertaken to study psychosocial and health related issues am...
Estimation of serum prolactin in children admitted with seizure disorders
Most cases of seizure occur as the result of central nervous system infection, brain injury, stroke, brain tumors, and birth defects, through a process known as epileptogenesis. The etiology in many cases of seizure diso...
The most prevalent symptoms of coronary artery disease and its association with crucial hospitalization time in tertiary care hospital
Introduction: Ischemic heart disease is a common problem faced by people worldwide. Its incidence generally increases with advancing age. The most common cause of myocardial ischemia is atherosclerotic disease of an epic...