IJSR - International Journal of Scientific Research

Dr Raghu Nath Mohapatra; Dr Jyoti Ranjan Pani; Dr Abhijit Samal; Dr Rakesh Mandal; Dr Gaurav

Volume : VII, Issue : VII, July - 2018

A PROSPECTIVE STUDY ON THE SPECTRUM OF PERFORATION PERITONITIS IN A TERTIARY CARE HOSPITAL WITH EMPHASIS TO PROGNOSTIC FACTORS

Dr Raghu Nath Mohapatra, Dr Jyoti Ranjan Pani, Dr Abhijit Samal, Dr Rakesh Mandal, Dr Gaurav

Abstract :

Background: Peritonitis due to hollow viscus perforation is a commonly encountered entity in surgical practise.Peritonitis is often caused by introduction of infection into the otherwise sterile peritoneal cavity due to bowel perforation, introduction of irritative chemical like gastric acid, from a perforated peptic ulcer.

Materials & Methods:A prospective observational study was carried out on 105 patients who presented to the surgical OPD and Casualty of IMS & SUM Hospital between July 2014 to July 2016. After obtaining an exhaustive history a thorough clinical examination done, followed by required investigations and posted for surgery. All post–operative findings were recorded under specific parameters.

Results & Conclusions:Hollow viscus perforation is most commonly encountered in males belonging to the lower socio–economic strata. Chronic duodenal ulcer is the most common cause of bowel perforation with patients presenting commonly within 24–72 hours.Graham’s omental patch is the most commonly performed procedure with lower respiratory tract infection being the most common cause of mortality.