A STUDY OF PROGNOSTIC FACTORS IN NON TRAUMATIC ILEAL PERFORATION IN DEVELOPING COUNTRIES

Dr. Ajay Kumar; Dr.  M.K. Maheshwari; Dr.  Rani Bansal; Dr. Prabodh Bansal; Dr. Aman Kamra; Dr.  Loveneet Dogra; Dr. Syamantak Srivastava

Volume : VI, Issue : IV, April - 2016

A STUDY OF PROGNOSTIC FACTORS IN NON TRAUMATIC ILEAL PERFORATION IN DEVELOPING COUNTRIES

Dr. Ajay Kumar, Dr. M. K. Maheshwari, Dr. Rani Bansal, Dr. Prabodh Bansal, Dr. Aman Kamra, Dr. Loveneet Dogra, Dr. Syamantak Srivastava

Abstract :

Objectives– The purpose of our study was to identify the prognostic factors in non traumatic ileal perforation and evaluate Manheims Peritonitis Index (MPI) in assessing prognosis in these patients. Methods– The study was conducted over a period of two years in the Department of Surgery. A total of 58 patients admitted through emergency department diagnosed as a case of non traumatic perforation peritonitis and intraoperatively found to have ileal perforation were included in the study. A written informed consent was obtained from the patient and patient’s relatives. Complete clinical assessment lab investigations, ultrasound, x–rays, operative findings, MPI score and the course in hospital were recorded. Based on the above mentioned findings, factors affecting recovery, morbidity and mortality were evaluated. Results– 58 patients of non traumatic ileal perforation were assessed. Elderly age, female patients, delayed presentation to the hospital and high MPI score had a poorer prognosis in patients of non traumatic ileal perforation.