Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The mortality rate for perforation peritonitis is still high even with advances in surgical therapy, modern intensive care units, novel antibiotics and a better knowledge of pathogenesis. The complex interaction of multiple factors and the degree of success attained through the application of focused treatment measures dictate the outcome of an abdominal infection. Furthermore, the outcome is contingent upon the precise identification of the severity of the illnesses and a meticulous evaluation and categorization of the patient’s vulnerabilities. This study aims to examine the predictive value of the Mannheim Peritonitis Index scoring system in individuals suffering with hollow viscous perforation‐related peritonitis. Furthermore, we want to assess how well it works as a clinical tool for dividing up these patients into groups according to each patient’s unique surgical risk. To assess the effectiveness of MPI as a valuable, uncomplicated, replicable and prudent method for categorizing patients with peritonitis into high‐and low‐risk groups. The study was conducted from January 2022 to January 2024 in the Department of General Surgery at the Agartala Government Medical College in Agartala, West Tripura. It was a cross‐sectional and observational study. This study involved 42 patients. Among the discharged patients, 38 individuals (76.0%) underwent Omental Patch Repair, while 12 individuals (24.0%) underwent Primary Closure during the intraoperative procedure. Among the deceased patients, 2 (20.0%) underwent Colostomy, 2 (20.0%) underwent Primary Closure, 4 (40.0%) underwent Rectal Advancement with Ileostomy and 2 (20.0%) underwent Resection and Anastomosis during the intraoperative procedure. The average Total Score (mean±s.d.) for discharged patients was 20.2800±6.2107.The average Total Score (mean±s.d.) of deceased patients was 34.0000±5.1208. The statistical significance of the difference was seen in the distribution of the mean Total Score with Outcome. (p<0.0001). A number of MPI characteristics that are associated with unfavorable outcomes were examined in the study. These characteristics included the presence of malignancy the occurrence of organ failure, durations longer than 24 hours, patients over 50 years of age, broad expansion of peritonitis and type of exudate. Two of these variables were shown to be statistically significant in predicting both mortality and morbidity the presence of organ failure and a time elapsed that exceeded 24 hours.
How to cite this article:
Ashish Kumar Anand, Sunil Kumar Ghosh and Kishore Kumar Das. Mannheim Peritonitis Index as an Evaluative Tool in Predicting Morbidity and Mortality in Patients of Perforation Peritonitis.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.237.242
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.237.242