Analysis of Mannheim peritonitis index scoring in predicting outcome in patients with peritonitis secondary to hollow viscous perforation

East surgical ward enteric perforation score: a new statistically valid scoring criteria for decision between repair or ileostomy in patients with peritonitis due to enteric perforation

“…Surgeon's expertise is one of the important factors. 15 Some surgeons prefer to do repair in all ileal perforations irrespective of the outcome while many safe surgeons prefer ileostomy. Although ileostomy is a safe decision but stoma care would be a social, mental and economic trauma to the patient which needed another operation.…”

“…diversion, resection of disease segment and end to end anastomosis of healthy gut, bypass the perforation as ileotransverse anastomosis and exteriorizing the perforation as loop ileostomy or resection of disease gut and exteriorizing as double barrel ileostomy. 5,6 The decision between repair of enteric perforation and making stoma is always a question of confusion among surgeons. 7 On one hand many surgeons follow the general parameters which favor stoma formation for example huge peritoneal spillage, tachycardia, hypovolemia, oliguria and decreased oxygen saturation, while on other hand surgeons use the personal experience and level of expertise while taking this decision.…”