AN EPIDEMIOLOGICAL STUDY OF PERFORATION PERITONITIS IN A TERTIARY CARE HOSPITAL IN WESTERN UTTAR PRADESH

Abstract

Objective:To study the epidemiological prole of perforation peritonitis in a tertiary care hospital in western Uttar Pradesh. Methods: This was a cross-sectional study. The study was conducted on 127 patients of hollow viscus perforation resulting in peritonitis. Patients admitted were examined during pre-operative period and followed during intra-operative and post-operative period. All the required data were collected like demographic, clinical and radiological examinations at pre and post-operative period. Results: About one third of patients were between 15-30 years (31.5%) and majority of patients were males (80.3%). Ileal anatomical site of perforation was most common (43.3%). Distension was most common symptom (95.3%). REPAIR+ PROX LOOP (32.7%) and PERF AS LOOP (30.9%) surgical procedure was performed among about one third of patients for ileal perforation. Fever, seroma and infection post-operative complication was among all patients whom number of ileal perforation was >3. The mortality was higher among whom number of ileal perforation was >3 (40%) than 2-3 (25%) and 0-1 (4.8%). The duration of hospital stay was insignicantly (p>0.05) higher among whom number of ileal perforation was >3 (14.26±4.13 days) than 2-3 (13.60±3.14 days) and 0-1 (11.86±2.36 days). Conclusion: Early diagnosis, resuscitation with uids, antibiotic, and timely surgical intervention are the most important factors deciding the fate of the patient with perforation peritonitis.