Evaluation Of Secondary Peritonitis A Record Based Study

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. Most common 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 were wound infection (22%), electrolyte imbalance (20%), pulmonary complication (12%), septicemia (12%), intestinal obstruction (2%), fecal fistula (2%), burst abdomen (2%) and mortality (16%). [Astha Trivedi Natl J Integr Res Med, 2020; 11(1):22-25]