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Category: Volume 07 Issue 10 October 2019
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Title: A Surgical Audit of Gastro Intestinal Perforations in a Tertiary Care Centre

Authors: Dr S. Anish Sunder Narayanan, Dr R. Baskaran, Dr R. Ramesh, Dr M. Prema, Dr K. Karthick Raja, Dr GM. Badhusha Moideen Ibhrahim, Dr Sabarimalai

 DOI: https://dx.doi.org/10.18535/jmscr/v7i10.103

Abstract

  

Background: Hollow viscus perforation is common surgical emergencies that possess high morbidity and mortality. Surgery plays a vital role in management of GI perforations

Objectives: To study the pattern of gastro-intestinal perforations (1) Most common age and sex involved. (2) The etiological factors and anatomical sites of involvement. (3) Post operative complication in relation to GI perforation management

Materials: This study was conducted in the Department of General Surgery, Rajah Muthiah Medical College and Hospital, Chidambaram for a period of 22 months from November 2017 to August 2019. 77 cases of gastro intestinal perforations were studied during this period.

Results: The most commonest age group presented with Hollow viscus perforation is 50-60 yrs with male predomince. The most commonest site involved is duodenum. Wound Infection being the commonest complications following appendicular perforation

Conclusion: Gastro-Intestinal perforation is the commonest cause of acute abdomen requiring immediate effective surgical infection. Early admission and prompt surgical intervention and good post operative care reduces the morbidity and mortality rates

Keywords: Gastrointestinal perforations, Wound infection, Acute abdomen.

References

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Corresponding Author

Dr S. Anish Sunder Narayanan

Post Graduate, Dept of General Surgery, Rajah Muthiah Medical College and Hospital, Annamalai Nagar, Chidambaram, India, 608002