Surgical Management of Secondary Peritonitis Patients in a Tertiary Care Hospital

Abstract

Background: In the majority of general surgical units around the world, Secondary Peritonitis is the common surgical emergency and has high risk of morbidity and mortality. The present study was done to evaluate the surgical management among Secondary Peritonitis cases in a tertiary care Hospital. Material and Methods: This cross sectional study was conducted by Department of Surgery, IGMC, Shimla over a period of twelve months from January 2021 – December 2021 among patients with a diagnosis of secondary peritonitis after fulfilling the inclusion and exclusion criteria. Relevant information was collected and further analysed by using IBM SPSS Statistics. Results: A total of 250 individuals with a diagnosis of perforation peritonitis were assessed in the current study. Males made up 205 (82%) of the total while females made up 45 (18%). The patients' average age was 47.28 17.34 years, ranging from 18 to 87. In the study, 99 (39.6%) of the total patients were under the age of 40, while 151 (60.4%) were beyond the age of 40. Of the total, 32 (12.80%) passed away while 218 (87.20%) were discharged after receiving treatment. In the present study, most of patients 89 (35.6%) of secondary peritonitis were managed by Cellan jones repair followed by Loop ileostomy in 43 (17.2%) patients End ileostomy in 27 (10.8%) patients and rest by other procedures. Conclusion: The study concluded that most of patients of secondary peritonitis were managed by Cellan jones repair followed by Loop ileostomy and End ileostomy.