TY  - JOUR
T1  - Surgical Management of Perforation Peritonitis in A Tertiary Center
AU - Kumar, Sandip AU - Prasad, Rashmi 
JO  - Research Journal of Medical Sciences
VL  - 2
IS  - 6
SP  - 305
EP  - 308
PY  - 2008
DA  - 2001/08/19
SN  - 1815-9346
DO  - makrjms.2008.305.308
UR  - https://makhillpublications.co/view-article.php?doi=makrjms.2008.305.308
KW  - Perforation peritonitis
KW  - gastrointestinal perforation
KW  - duodenal ulcer
KW  - ileal perforation
KW  - emergency surgery
KW  - omental patch
KW  - resection and anastomosis
KW  - diversion stoma
KW  - postoperative complications
KW  - mortality
AB  - 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.
ER  -