Peritonitis is an often seen urgent surgical condition in hospitals, with high rates of illness and death. This remains a significant worry for surgeons, especially in a tropical nation like India. During the presentation, the patient's overall health was often significantly worsened and required skilled emergency surgical treatment. Temporary diagnoses were determined based on the patient's medical history and physical examination. In order to confirm the final diagnosis, several tests were conducted including standard tests such as haemoglobin (Hb), bleeding time (BT), clotting time (CT), total leukocyte count (TLC), differential leukocyte count (DLC), erythrocyte sedimentation rate (ESR), and comprehensive urine examination. Urea levels in the blood, sugar levels in the blood, creatinine levels in the serum. Four quadrant aspiration tests revealed that faecal materials was present in the aspirate in 37% of patients. In 23% of cases, there was transparent fluid. Bile fluid was found in 13% of patients. Hemorrhagic fluid was found in 5% of instances, while pus was found in 5% of cases. In 23% of instances, there was no presence of aspiration fluid. Laparotomy and closure of the perforation remains the most often performed surgical procedure for ileal and jejunal perforations, followed by complete peritoneal irrigation using normal saline.
Mukesh Kumar Garg. Management of Peritonitis as Skilled Emergency Surgical Treatment.
DOI: https://doi.org/10.36478/10.59218/makrjms.2016.721.724
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2016.721.724