Spectrum of Perforation Peritonitis at a Tertiary Care Centre in Punjab

Abstract

BACKGROUND Perforation peritonitis is the most common surgical emergency encountered by the surgeons all over the world. It requires an urgent surgical intervention and is a significant cause of morbidity and mortality. The present study was carried out to analyse the frequency, aetiology and common sites of secondary perforation peritonitis in our setup. MATERIALS AND METHODS This study was conducted as a descriptive study analysing 426 patients of secondary peritonitis from July 2012 till June 2017 at Dayanand Medical College and Hospital, Ludhiana. All cases found to have peritonitis as a result of perforation of any part of gastrointestinal tract at the time of surgery were included in the study. All cases with either primary peritonitis or that due to anastomotic dehiscence were excluded. RESULTS A total of 426 patients were studied, which included 328 males and 98 females. Majority (89%) of the patients were in the third and fourth decades of life. Pain was the commonest presenting symptom. Most common site of perforation was small intestine with 44.3% cases in ileum, 23% in duodenum and 4% in jejunum and the commonest associated risk factor was typhoid (40.3%). Overall, the mortality rate was 20.6%. CONCLUSION Majority of perforation peritonitis cases in the study comprised of typhoid ileal perforations, which leads to the realisation of the impending need to strengthen the hygienic conditions in the area. Overall morbidity and mortality were acceptable. The basic principles of early diagnosis, prompt resuscitation and urgent surgical intervention still form the cornerstones of management in these cases.

Profile of Microorganism and Antibiotic Sensitivity Pattern in Patients Undergoing Emergency Laparotomy for Peritonitis

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Spectrum of hollow visceral injury due to isolated blunt trauma abdomen presented in tertiary care trauma hospital of Pakistan

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