Study of perforation peritonitis in rural india.

Study of perforation peritonitis in rural india.

Registration ID: IJNRD_224113

Published ID: IJNRD2406382

DOI: Click Here to Get

Dr.Warule Sanket Suresh. , Dr. Babu Pralhad Ubale. , Dr. Varsha Surendra Kane. , Dr. Dhyan Ashish Desai. , Dr. Kantesh Parasram Kolhe.

perforation peritonitis, Burst abdomen, Exploratory laparotomy

ABSTRACT Introduction: Hollow viscus perforation is one of the most common surgical emergencies. The descriptive study was conducted from May 2022 to June 2024 regarding the incidence, etiology, and postoperative surgical complication in operated cases of hollow viscus perforation. Before the discovery of PPI and H-pylori regimen peptic ulcer disease was the most common cause of hollow viscus perforation. Aim: 1) To study the incidence of gastrointestinal perforation peritonitis in adults in rural India. 2) To study the etiology of perforation peritonitis in these patients. 3) To study post-operative complications and their management. Materials and methods: The present study was carried out in the Department of General Surgery at a tertiary care teaching hospital. This is a prospective descriptive study. The present study was conducted from May 2022 to June 2024. 50 patients with gastrointestinal perforation peritonitis undergoing surgical intervention were studied During the study period. Patients who met inclusion criteria were requested to sign a written informed consent form before being enrolled in the study. Inclusion criteria 1) All patients of age 18 years and above irrespective of sex, presenting with gastrointestinal perforation peritonitis and undergoing exploratory laparotomy included in this study. Exclusion criteria 1) Patients below 18 years of age. 2) Patients with primary peritonitis/spontaneous bacterial peritonitis, postoperative peritonitis due to anastomotic leakage, peritonitis following ingestion of corrosive poison, and peritonitis following traumatic and iatrogenic peroration will be excluded from this study. 3) Patients not undergoing exploratory laparotomy. Results: 1) The mean age of perforation peritonitis is 47.95. 2) Amongst all patients 60% of patients have perforation peritonitis due to peptic ulcer disease and 22% of patients due to appendicular perforations. 3) Overall, 36% of patients (18 patients) had post-operative complications. Amongst 18 patients 9 patients had surgical site infections and 1 patient had acute renal failure. Conclusions: 1) The most common age group of incidences for perforation peritonitis is 51- 60 years and the least common is above 70 years 2) The most common cause of perforation peritonitis is peptic ulcer disease followed by appendicular perforation while the least common is due to tuberculosis of the intestine in this age group. 3) The most common postoperative complication is surgical site infection and the least common is acute renal failure.

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"Study of perforation peritonitis in rural india.", IJNRD - INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT (www.IJNRD.org), ISSN:2456-4184, Vol.9, Issue 6, page no.d894-d902, June-2024, Available :https://ijnrd.org/papers/IJNRD2406382.pdf

Volume 9 Issue 6, June-2024

Pages : d894-d902

Paper Reg. ID: IJNRD_224113

Published Paper Id: IJNRD2406382

Downloads: 000121182

Research Area: Medical Science

Country: Shrirampur, maharashtra, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2406382.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2406382

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

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This work is licensed under a Creative Commons Attribution 4.0 International License and The Open Definition

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