@article{MAKHILLRJMS20082631882,
    title = {Surgical Management of Perforation Peritonitis in A Tertiary Center},
    journal = {Research Journal of Medical Sciences},
    volume = {2},
    number = {6},
    pages = {305-308},
    year = {2008},
    issn = {1815-9346},
    doi = {makrjms.2008.305.308},
    url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2008.305.308},
    author = {Sandip and},
    keywords = {Perforation peritonitis, gastrointestinal perforation, duodenal ulcer, ileal perforation, emergency surgery, omental patch, resection and anastomosis, diversion stoma, postoperative complications, mortality},
    abstract = {Perforation peritonitis is a major surgical emergency in developing
countries, associated with significant morbidity and mortality. To evaluate
the clinical presentation, operative procedures, and outcomes of patients
with perforation peritonitis managed in a tertiary care center. Patients
admitted between January 2003 and December 2007 with perforation
peritonitis and undergoing surgical intervention were analysed.
Demographic data, aetiology, operative techniques, postoperative
complications, and outcomes were reviewed. A total of 142 patients were
included. The majority were males (68%) with mean age 39 years.
Duodenal ulcer perforation was the most common aetiology (54%),
followed by ileal perforation (24%). Primary closure with omental patch
was performed in 58% of cases, while resection and anastomosis were
required in 19%. Postoperative complications included wound infection
(29%), respiratory complications (14%), and anastomotic leak (5%).
Overall mortality was 10%, predominantly in elderly patients with delayed
presentation. Early diagnosis, prompt resuscitation, and timely surgical
intervention remain the cornerstone of management. Despite advances
in perioperative care, perforation peritonitis continues to carry a high risk
in tertiary centers.}
    }