Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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.
How to cite this article:
Sandip Kumar and Rashmi Prasad. Surgical Management of Perforation Peritonitis in A Tertiary Center.
DOI: https://doi.org/10.36478/makrjms.2008.305.308
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2008.305.308