Evaluation Of Secondary Peritonitis A Record Based Study

Evaluation Of Secondary Peritonitis A Record Based Study

  • Dr. Astha K. Trivedi Associate Professor, General Surgery Department, Smt.NHLMunicipalMedicalCollege, SVPIMSR, Ahmedabad, India
  • Dr. Astha K. Trivedi Associate Professor, General Surgery Department, Smt.NHLMunicipalMedicalCollege, SVPIMSR, Ahmedabad, India
  • Dr. Het B. Upadhyaya Resident Doctor, General Surgery Department, Smt.NHLMunicipalMedicalCollege, SVPIMSR, Ahmedabad, India
  • Dr. Archana D. Dalal Professor, General Surgery Department, Smt.NHLMunicipalMedicalCollege, SVPIMSR, Ahmedabad, India
Keywords: Secondary peritonitis, exploratory laparotomy

Abstract

Background: Secondary peritonitis is the most common indication for exploratory laparotomy in India. However the etiology of perforation varies from the western world. The objective of this study is to assess the etiology, presentation, management and post-op outcome of patients operated for secondary peritonitis at our hospital. Method: Hospital based retrospective study of 50 cases of secondary peritonitis during the period of 2015-2018. Pediatric patients, primary peritonitis and anastomotic leak patients were excluded from the study. Result: Maximum number of patients were in age group of 11-30 years with male: female =4:1. Out of 50 cases the most common clinical presentation was abdominal pain in all of the patients. Mostcommon site of perforation was peptic perforation (44%), followed by small bowel perforation (36%),appendicular perforation (10%) and colonic perforation (10%). Overall rate of complication was 25%. Conclusion: In our setup the major etiology of perforation was infective and presentation of patients immediately after first symptom and timely surgical intervention resulted in good prognosis and less post-op complications. Complications in our study werewound infection (22%), electrolyte imbalance (20%), pulmonary complication (12%), septicemia (12%), intestinal obstruction (2%), fecal fistula (2%), burst abdomen (2%) and mortality (16%).[Natl J Integr Res Med, 2019; 10(6):54-56]

Published
2020-01-01
How to Cite
Trivedi, D. A. K., Trivedi, D. A. K., Upadhyaya, D. H. B., & Dalal, D. A. D. (2020). Evaluation Of Secondary Peritonitis A Record Based Study: Evaluation Of Secondary Peritonitis A Record Based Study. National Journal of Integrated Research in Medicine, 10(6), 54-56. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/2693
Section
Original Articles