Management of peritonitis in a rural tertiary care institute
Abstract
Introduction: Peritonitis is defined as the inflammation of the peritoneal cavity. Peritonitis due to perforation of gastro intestinal hollow viscus is the common surgical emergency in India and the spectrum of disease is different from that found in the western world.
Material and Methods: This study was done to know the various trends of management in peritonitis cases in Barabanki district of Uttar Pradesh state of India. In this study of 200 cases of peritonitis coming to Hind Institute of Medical Sciences, Barabanki, Uttar Pradesh were screened on the basis of lab investigations, X-rays (Chest & abdomen), ultrasonography, and abdominal aspiration when required.
Results: Majority of perforation peritonitis patient presented to emergency with dyselectrolemia, followed by septicemia, ultra-sonography showed free fluid and four quadrant aspiration s/o nature of peritoneal cavity fluid. Patients managed with initial resuscitation and surgery to correct the underlying pathology.
Conclusion: Closure of perforation with omental patching done in stomach and duodenal perforation with peritoneal toilet. Omental patching is the commonest surgical procedure done in the peptic perforations.
Downloads
References
2. Burke CM,BrierME,Golper TA. Outcomes of single organism peritonitis in peritoneal dialysis: gram negatives versus gram positives in the Network 9 Peritonitis Study.Kidney Int.1997;52:524.
3. Rubin J, Rogers WA, Taylor HM, Everett ED, Prowant BF, Fruto LV, Nolph KD. Peritonitis during continuous ambulatory peritoneal dialysis. Ann Intern Med. 1980 Jan;92(1):7-13.
4. Hainaux B, Agneessens E, Bertinotti R, De Maertelaer V, Rubesova E, Capelluto E, Moschopoulos C. Accuracy of MDCT in predicting site of gastrointestinal tract perforation. AJR Am J Roentgenol. 2006 Nov;187(5):1179-83. [PubMed]
5. Agarwal N, Saha S, Srivastava A, Chumber S, Dhar A, Garg S. Peritonitis: 10 years' experience in a single surgical unit. Trop Gastroenterol. 2007 Jul-Sep;28(3):117-20. [PubMed]
6. Sofic A, Besilic S, Linceder L, Vrcic D. Early radiological diagnostics of gastrointestinal perforation. RadiolOncol. 2006; 40 (2): 67-72.
7. Dickson ja, cole gj. Perforation of the terminal ileum. A review of 38 cases. Br J Surg. 1964 Dec;51:893-7. [PubMed]
8. Aston NO, de Costa AM. Tuberculous perforation of the small bowel. Postgrad Med J. 1985 Mar;61(713):251-2.
9. SWEETMAN WR, WISE RA. Acute perforated tuberculous enteritis: surgical treatment. Ann Surg. 1959 Jan;149(1):143-8.
10. Gupta S, Kaushik R, Sharma R, Attri A. The management of large perforations of duodenal ulcers. BMC Surg. 2005 Jun 25;5:15. [PubMed]
11. Gupta SK, Gupta R, Singh G, Gupta S. Perforation Peitonitis: A Two Year Experience. JK Science. 2010; 12(3): 141-4.
12. Townsend MC, Pelias ME. A technique for rapid closure of traumatic small intestinal perforations without resection. Am J Surg. 1992; 164(2): 171 -2.
13. Kim JP, Oh SK, Jarrett F. Management of ileal perforation due to typhoid fever. Ann Surg. 1975 Jan;181(1):88-91. [PubMed]
14. Jain BK, Arora H, Srivastava UK, Mohanty D, Garg PK. Insight into the management of non-traumatic perforation of the small intestine. J Infect Dev Ctries. 2010 Oct 28;4(10):650-4. [PubMed]
OAI - Open Archives Initiative
Therapoid
