Open AccessA Prospective study on Gastrointestinal Perforation Peritonitis in Andhra Pradesh, India
Author(s) -
Guangxun Rao,
B. Visweswara Rao
Publication year - 2020
Publication title -
surgical update
Language(s) - English
Resource type - Journals
ISSN - 2456-9518
DOI - 10.17511/ijoso.2020.i05.08
Subject(s) - medicine , exploratory laparotomy , perforation , peritonitis , etiology , surgery , laparotomy , complication , surgical emergency , general surgery , materials science , punching , metallurgy
Perforation is defined as an abnormal opening in a hollow organ or viscus. All overthe world, perforation peritonitis is the most prevalent surgical emergency tackled and treated by asurgical team. The etiology leading to peritonitis in tropical countries shows a different spectrumfrom its western world. The present study was conducted to highlight the spectrum of hollow viscusperforation peritonitis in terms of etiology, clinical presentations, site of perforation, surgicaltreatment, postoperative complications, and mortality encountered. Methods: The study was aprospective observational study conducted from March 2016 to March 2019 in the Department ofGeneral Surgery, Great Eastern Medical School and Hospital, Andhra Pradesh. A total of 320 patientswith perforation peritonitis were included in the study and underwent exploratory laparotomy.Results: Out of 320 patients, there were 276 males (86.25%) and 44 females (13.75%). Duodenalperforation was the most common type (34.38%), which was mainly due to Acid peptic diseasefollowed by Jejunal and Ileal perforations. Wound infection was the most common complication. Themortality rate was 8.44% (27 patients). Conclusion: Early diagnosis, resuscitation with fluids, andtimely surgical intervention are the most important factors deciding the fate of the patient withperforation peritonitis.