Comparative Study of Role of Laparoscopic Vs Conventional Management in Peritonitis

Abstract

Background : A very commonly encountered case in the field of general surgery is peritonitis. In our study, we analyse 100 cases of acute peritonitis due to various causes, being managed conventionally and laparoscopicaly. Subjects and Methods: The observational, continuous, prospective, single centre study was carried out at Gujarat Adani Institute of Medical Science at GK General Hospital Bhuj. The study was conducted for a total duration of 27 months from October 2017- December 2019 (Patients were enrolled in the study and followed up till the day of admission to the day of the discharge). Total 100 patients are enrolled in the study but there were no intervention done. We compare the outcomes in terms of postoperative pain, removal of ryles tube, urinary catheter, drains, early ambulation and duration of hospital stay. Results: Maximum patients were diagnosed as having pre pyloric peptic (pyloric with antral perforation) perforation (45%) followed by jejunal perforation (17%). successful laparoscopic surgery without conversion was done in 92%. study total 4 cases of laparoscopic managed group needed to convert in open including 2 duodenal perforation cases, 1 sigmoid colon perforation case and 1 ascending colon perforation. Conclusion: Laparascopic intervention to be better of the two provided availability of skill and setup.