A retrospective study of perforation peritonitis in a tertiary care hospital in Uttar Pradesh, India

Mukherjee, Sujoy; Raza, Mohd. Arshad; Jindal, Rishi; Ratnakar, Ratnakar

doi:10.18203/2349-2902.isj20163576

Cited by 3 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…17 In this study among 140 cases postoperative complications were seen in 45% of cases with wound infection being the most common complication followed by dyselectrolytemia, lung infection, acute renal failure, burst abdomen, anastomotic leak and death. The results were similar to a study done by Memon et al and Mukherjee et al 1,18 Morbidity from other post-operative complications ranges from 8.8% to 71.3% cases. 19 Delay in operative intervention adversely affects the survival rate after surgery.…”

Section: Discussionsupporting

confidence: 91%

“…

Gastrointestinal perforations constitute one of the commonest surgical emergencies encountered by surgeons. 1 In spite of advances in perioperative care, antimicrobial therapy, and intensive care support, perforation peritonitis still has high morbidity and mortality. 2 The spectrum of etiology of perforation in tropical countries is different from its western counterpart.

…”

mentioning

confidence: 99%

See 1 more Smart Citation

A study of non-traumatic gastrointestinal perforations in a tropical country

Hota¹,

Bung²,

Prashanth³

2021

Int Surg J

View full text Add to dashboard Cite

Background: Gastrointestinal perforations constitute one of the commonest surgical emergencies encountered by surgeons all over the world. However, non traumatic gastrointestinal perforations are more commonly seen in tropical countries. They cause considerable mortality and usually require emergency surgery. This study was designed to study the clinical spectrum of non traumatic gastrointestinal perforation in a tropical country and thereby assessing the surgical outcome.Methods: An observational study was conducted in the department of general surgery, Mamata medical college, Khammam to analyse the clinical spectrum and their management protocol with outcome of the patients presenting with non traumatic gastrointestinal perforation. A total number of 140 patients of various etiologies of non traumating gastrointestinal perforations were found to be treated over a period of six years. Detailed demographic profile, clinical presentations and etiological factors were studied along with various management protocols offered to them with the outcome.Results: Most common age of presentation was 41-60 years with 72%being males. Most common site of perforation was duodenum (28.57%) followed by stomach (25%). Peptic ulcer (53.57%) was the predominant etiology followed by appendicular perforation (15.71%), enteric perforation (12.85%), tubercular (4.28%), malignancy (1.42%) and diverticula (0.71%). Most common post-operative complication was wound infection (37.14%) followed by dyselectrolytaemia (31.42%). Mortality was 7.14%.Conclusions: Gastrointestinal perforations constitute one of the commonest surgical emergencies. Non traumatic gastrointestinal perforations are quite common in a tropical country like India. The high rates of mortality among those, who present late, prompt an early diagnosis and active management protocol in order to reduce mortality and morbidity in such patients.

show abstract

Section: Discussionsupporting

confidence: 91%

“…

…”

mentioning

confidence: 99%

A study of non-traumatic gastrointestinal perforations in a tropical country

Hota¹,

Bung²,

Prashanth³

2021

Int Surg J

View full text Add to dashboard Cite

show abstract

“…Insight into the management of non-traumatic perforation of the small intestine 3 . Gastrointestinal perforations constitute one of the commonest surgical emergencies encountered by surgeons 4 . In spite of advances in perioperative care, antimicrobial therapy, and intensive care support, perforation peritonitis still has high morbidity and mortality 5 .…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Paramedian and Midline Incision in Laparotomy for Peritonitis due to Non-traumatic Gastro-intestinal Tract Perforation

Rahman,

Ullah,

Rahman

et al. 2024

Med. Today

View full text Add to dashboard Cite

Introduction: A prospective observational study was conducted to compare the paramedian incision with midline incision in gastro-intestinal tract perforation. Objectives: To identify better or superior incision which may reduce post operative mortality and morbidity after laparotomy. Materials and Methods: A prospective observational Hospital based study was conducted from January 2009 to June 2009 at department surgery of Shaheed Ziaur Medical College Hospital, Bogura. A total 100 patients of peritonitis due to non-traumatic gastro-intestinal tract perforation were taken for study. Sample were collected by Convenience (purposive) sampling method. Midline incision and Para median incisions were performed as per standard technique. The details of operations, post-operative complications and follow up to be recorded and analyzed. Results: Opening time and closing time in midline incision is significantly less than paramedian (P <0.001). Incidence of wound infection and incidence of wound dehiscence in our study in midline group was less compared to paramedian group buy it is not significant. All forms of dehiscence ranging from superficial dehiscence to burst abdomen were included. Incidence of incisional hernia was significantly higher in midline incision (P<0.05). Healing time was significantly lower in midline compared to Paramedian group (P<0.05). Conclusion: It is concluded that midline incision is preferred compared to paramedian incision. Incidence of wound dehiscence and wound infection is less in midline incision. Medicine Today 2023 Vol.36 (1): 45-49

show abstract

Effect of Wound Irrigation with Povidone Iodine Versus Normal Saline on Superficial Incisional Surgical Site Infection Following Laparotomy for Peritonitis

Adeleke,

Wuraola,

Olasehinde

2024

J West Afr Coll Surg

View full text Add to dashboard Cite

Background: Peritonitis is a surgical emergency arising mostly from the perforation or rupture of an abdominal hollow viscus. Surgical operations for peritonitis are often attended by high morbidity and sometimes mortality in severe cases. Surgical site infection (SSI) is perhaps the most common post-operative morbidity following laparotomy for peritonitis. Objective: To compare the rate of SSI in abdominal operations for peritonitis following wound irrigation with povidone iodine versus normal saline at a tertiary health institution in Nigeria. Materials and Methods: This was a prospective, comparative hospital-based study over a year. Consecutive consenting adult patients were randomised into two groups in this study. The first group (A) used 500 mL of 1% povidone iodine for subcutaneous wound irrigation, while the second group (B) used 500 mL of normal saline for subcutaneous wound irrigation. Wound irrigation was done after an appropriate surgical procedure had been carried out based on the pathology. Wounds were assessed for SSI for up to 30 days after operation using the definition criteria by the Centre for Disease Control and Prevention (CDC). SSI rates were compared between the two groups. Result: Fifty-eight consecutive patients with generalised peritonitis over a one-year period were enrolled in this study, but 53 patients who completed the study were analysed. Thirty patients were males and 23 were females, and their mean age was 40.83 ± 17.96 years. Overall, 15 (28.3%) patients had incisional SSI. There were nine (34.6%) cases in the povidone group, while there were six (22.2%) in the saline group. This difference was not statistically significant (P = 0.32). Klebsiella species were the dominant organisms isolated from the infected wounds. Conclusion: Wound irrigation with povidone iodine after laparotomy for peritonitis did not reduce the rate and severity of surgical site infection more when compared to normal saline. We suggest further studies with a large number of patients in a multi-centre study to explore further the effect of povidone iodine versus normal saline wound irrigation on SSI following laparotomy for peritonitis.

show abstract

A retrospective study of perforation peritonitis in a tertiary care hospital in Uttar Pradesh, India

Cited by 3 publications

References 11 publications

A study of non-traumatic gastrointestinal perforations in a tropical country

A study of non-traumatic gastrointestinal perforations in a tropical country

Comparative Study of Paramedian and Midline Incision in Laparotomy for Peritonitis due to Non-traumatic Gastro-intestinal Tract Perforation

Effect of Wound Irrigation with Povidone Iodine Versus Normal Saline on Superficial Incisional Surgical Site Infection Following Laparotomy for Peritonitis

Contact Info

Product

Resources

About