EFFECTIVENESS OF MANNHEIM PERITONITIS INDEX IN PREDICTING THE MORBIDITY AND MORTALITY OF PATIENTS WITH PERITONITIS DUE TO HOLLOW VISCOUS PERFORATION
Dr. Sharanabasava K., Dr. Rinaldo M.*, Dr. Jagdeesh D. M. and Dr. Sangameshwar Patil
ABSTRACT
Peritonitis due to hollow viscous perforation is one of the common cause for emergency and admission under surgery department. Its causes vary from the one requiring immediate surgical intervention to that requiring conservative management. Its accurate diagnosis and management is a challenge to every surgeon. Scoring systems that provide objective descriptions of the patient’s conditions at specific points in the disease process aid our understanding of these problems. Hence this study is undertaken to study the effectiveness of Mannheim’s peritonitis index (MPI) in predicting the outcome in peritonitis patients who presented to Basaveshwar teaching and general hospital, Kalaburagi. Materials & Methods: This study is a clinical, prospective, observational study conducted at Department of surgery, Basaveshwar teaching and general hospital, Kalaburagi. from July 2014 to march 2016. Results: The mean age of the patients was 45.72 (SD 14.26) years. There was male preponderance (66%) with male to female ratio of 1.9:1. In our study the most common etiology of peritonitis was duodenal perforation seen in 70% of patients, followed by gastric perforation (13%), ileal(12%), jejunal(3%) and appendicular perforation(2%). Conclusion: Various factors like age, sex, duration, site of perforation, extent of peritonitis and delay in surgical intervention are associated with morbidity and mortality. MPI scoring system is easiest score to apply, the determination of risk during operation and surgeon can know about the possible outcome and the appropriate management. MPI is more effective in predicting the mortality in peritonitis due to hollow viscous perforation.
Keywords: Mannheim’s peritonitis index (MPI), peritonitis, perforation.
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