Study of Spectrum of Small Bowel Perforations – Management and Evaluation of Outcomes
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Gastrointestinal perforation has been a surgical problem since time immemorial. Perforation is said to occur once a pathology extends through the full thickness of hollow viscus leading to peritoneal contamination with intra luminal contents. In India, gastro duodenal perforation is the one of the commonest sites followed by enteric, appendicular, perforations. But the relative incidence of various types of perforations, the site, aetiological factors show a wide geographical variation. The aim of this study is to evaluate the current pattern of perforations, study various aetiological factors, management and overall mortality and morbidity with contributing factors. In my present study, total number of patients was 50, out of them 39 were male and 11 were female. Maximum patients were in between 41 to 50 years of age. Sex did not alter any surgical outcome in small bowel perforation. Old age patients have higher mortality rate. Most of the patients presented with diffuse pain abdomen, and fever, and clinical signs of peritonitis. Among the various operative procedures, we have employed, ileostomy had a significant higher rate of post-operative complications, However stoma can be considered as this a lifesaving procedure in a hemodynamically unstable patient. Choice of operation remains controversial. The exact procedure should be individualised and employed as per patients pre-operative condition, intra operative findings and patients overall hemodynamic condition.
Authors and Affiliations
Nisith Ranjan Mallik, Sandip Das Ray, Ashis Kumar Saha, Chhanda Das
Keywords
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- EP ID EP373336
- DOI 10.9790/0853-1704126468.
- Views 82
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