BACKGROUND Laparoscopy has become the preferred surgical approach to different diseases as it allows diagnosis and treatment at the same time. We wanted to evaluate the role of diagnostic & therapeutic laparoscopic surgery in patients of perforation peritonitis and their outcome. METHODS This was an observational study done over a period of one and half years from January 2017 to June 2018. All patients diagnosed with perforation peritonitis and those who were stable haemodynamically were included in this study. RESULTS 94 cases of perforation peritonitis underwent diagnostic and therapeutic laparoscopy. Mean age of patients was 41.62 years. Most common cause was appendicular perforation. 7 patients were diagnosed to have gastroduodenal perforation. Out of 20 patients of small bowel perforation, 7 (35%) were managed laparoscopically, while in 13 (65%), we needed conversion. Out of 26 cases of GB perforation, 24 cases (92.3%) were completed laparoscopically. All cases of sigmoid perforation were managed laparoscopically. Two patients died post operatively and 10 (10.6%) patients had post-operative intra-abdominal collections. 12 (12.8%) patients developed surgical site infection. CONCLUSIONS Laparoscopic management is feasible, safe and effective surgical option for patients with perforation peritonitis in properly selected cases with high diagnostic yield, early start of enteral feed and fast postoperative recovery.

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