Volume : IX, Issue : IX, September - 2019

SPECTRUM OF PERFORATION PERITONITIS IN A TERTIARY CARE HOSPITAL IN JAMMU

Raheel Hussan Naqvi, Ratnakar Sharma

Abstract :

Perforation peritonitis is one of the commonest surgical emergency encountered by surgeons. The etiology of perforation peritonitis in India has a different spectrum than western world. Upper gastrointestinal tract perforations predominate in India contrary to western population where lower gastrointestinal tract perforations predominate. AIMS AND OBJECTIVES: To study the spectrum of perforation peritonitis managed in a tertiary hospital in Jammu. METHODS: A prospective randomised control study in 60 patients admitted as a case of perforation peritonitis in terms of cause , site of perforation , surgical treatment and complications was carried out in Government Medical College , Jammu over a period of one year from 1st November to 31st October 2018. All the patients were resuscitated, investigated and emergency exploratory laparotomy was done and the site of perforation was found and controlled. RESULTS The most common cause of perforation peritonitis in our study was perforated duodenal ulcer ( 28 cases) followed by appendicular perforation (20 cases ), ileal perforation ( 8 cases ) , gastric perforation ( 2 cases ) and jejunal perforation ( 2 cases ). Mortality rate in our study was 6.7 %. CONCLUSION The spectrum of perforation peritonitis in Jammu differs from the western world. Upper gastrointestinal tract perforations constituted majority of the cases which is contrary to the western world where perforations are commonest in distal gastrointestinal tract. The commonest cause of perforation in our set up was duodenal ulcer perforation . There was no large bowel perforation

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

SPECTRUM OF PERFORATION PERITONITIS IN A TERTIARY CARE HOSPITAL IN JAMMU, Raheel Hussan Naqvi, Ratnakar Sharma INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-9 | September-2019


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