Study of Surgical Management of Small Bowel Perforation
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
The aim of the present study is to evaluate various causes, clinical features of small bowel perforations along with various surgical procedures and corresponding outcomes intheir surgical management.Patients and methods: This hospital based prospective study includesfifty patients diagnosed with small bowel perforation and admitted to surgical wards at Siddhartha Medical College and Govt. General Hospital, Vijayawada from January 2016 toMay 2017. Results: Pain abdomen was the most common presenting symptom in small bowel perforation followed by vomiting, abdominal distension, fever and constipation. X-ray erect abdomen, USG abdomen and CECT abdomen in selected cases are very useful investigations for diagnosis ofsmall bowel perforation.The most common cause of small bowel perforation was Ileal perforation. Typhoid illness was the most common cause of ileal perforation.Resection and anastomosis was the most common procedure employed. The most common complication in this series was surgical site infection. Mortality rate in our study was 12%.
Authors and Affiliations
DrChanda Ramanachalam, DrJ. Samba Siva Rao, DrN. Ram Kishan
Keywords
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