European Journal of Biomedical and Pharmaceutical Sciences

A STUDY ON CLINICAL PRESENTATION OF PERFORATIVE PERITONITIS IN GOVERNMENT HEADQUARTERS HOSPITAL

Dr. K. Sridharan*

ABSTRACT

Introduction: Peritonitis is one of the most common surgical emergency encountered in day to day practice. Peritonitis due to perforation of hollow viscous (secondary peritonitis) is the most common type of Peritonitis. Despite advances peritonitis remains a potentially fatal surgical emergency which requires institution of timely treatment for the best possible outcome, if not it may result in severe bacterial Peritonitis leading to deadly complication ranging from toxaemia to circulatory collapse and death. Based in this aim of our research is to study the relative incidence of peritonitis secondary to hollow viscus, also to analyse various aetiology leading to perforative peritonitis and to analyse its outcome in our Hospital. Materials and methodology: This study is based on the analysis of 141 patients admitted in Government Headquarters hospital, Krishnagiri with features of perforative peritonitis for a period of one year. Cases were selected in the age group of above >13 yrs. Both the sexes were included. Both non-traumatic as well as traumatic perforation were included in this study. Patient with post-operative peritonitis, peritonitis due to entero cutaneous fistula, iatrogenic perforation during laparotomy or scopy, Oesophageal perforation, and perforative peritonitis in pediatric age group were excluded from the study. Results & Conclusion: Most common age group affected by perforative peritonitis is above 40 years. Duodenal ulcer perforation was the most common cause of perforative peritonitis. Reduction in time elapse between the onset symptoms and signs to presentation to the hospital and early surgical intervention has marked impact on overall prognosis. Most important observation from our study is the increased incidence of post-operative complication in our patient which increases the morbidity and mean duration of hospital stay. Patient education about appropriate medical management & avoiding the precipitating factors may reduce the incidence of perforative peritonitis.

Keywords: Peritonitis, Perforation.