Title: Spectrum of Perforation Peritonitis at Tertiary Center: An Institutional Experience
Authors: Dr Hemant Kumar Beniwal, Dr Jeetendra Sakhrani, Dr Ashok Parmar, Dr Abhijeet Beniwal, Dr Anisha, Dr Isha Karwasra, Dr Dheeraj Godara
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.134
Abstract
Peritonitis due to perforation of the gastrointestinal tract is the most common surgical emergency all over the world.
The etiological spectrum of perforation peritonitis in India differs significantly from its western counter parts. We conducted a study of 217 patients in duration of one year at tertiary center in north west Rajasthan. All patients were >14years of age. Blunt trauma abdomen were excluded from the study. Along with spectrum of perforation peritonitis, demographic features, etiology, intraoperative finding, operative procedure, morbidity and mortality are also studied.
The mean age at presentation was 44.36±18.30 years (range from 14 to 89 years). Majority of patients are male 82.9% and from rural area 93.5%. Male to Female ratio 4.86:1. Most of them presented with history of smoking (72.8%), NSAIDS intake (67.7%). Perforation sites were: duodenum-33.8%, ileal (25.8%), gastric and prepyloric (24.4%), appendicular (7.8%), jejunal (4.6%) and colonic (1.8%). Morbidity 36.86% and mortality 5.52%.
It is concluded that upper gastrointestinal (UGI) perforations are more common in this study which is comparable to studies in the region. Alcohol abuse, smoking, and NSAIDS are the main etiological factors. Prevention of absue of all these substances can considerably decrease the incidence of UGI perforations.
Keywords: Spectrum , Perforation Peritonitis , Incidence , Prevention.
Dr Hemant Kumar Beniwal
MS Gen Surgery, SR SPMC Bikaner
