Audit of Perforation Peritonitis in Rural Setup at Nkpsims and Rc Nagpur for 2010-2012

Abstract

Fifty-nine patients who presented in the Casualty and O.P.D of department of General Surgery of NKPSIMS & RC &LMH with diagnosis of perforation peritonitis over a study period of one and half years were included. In most of the cases diagnosis was made by clinical examination supplemented by investigations in the form of standing X-ray chest PA view with domes of diaphragm, Ultrasound abdomen and blood test. After resuscitation Laparotomy was done in all the patients and thorough peritoneal lavage was done. A note of the site, size, type, number of perforations was made and biopsy was taken from the edge of the perforation. The most common cause of gastrointestinal perforation in our study was duodenal perforation. Primary closure of the perforation was most commonly done procedure. The overall mortality was 6%. Morbidity like wound infection, fever, respiratory complications, residual abscess, dyselectrolytemia, burst abdomen, jaundice, sepsis, cardiac complications, and anastomotic disruption was studied.