A study on management and outcome of hollow viscus perforation at tertiary care hospital
Author(s): Dr. Kanduri Mahesh Kumar
Abstract: An intestinal perforation is a major life-threatening condition with high morbidity and mortality that requires emergency surgery. Despite improvements in surgical and medical treatments, the overall mortality rate is 30% and the mortality rate of cases that also have diffuse peritonitis is up to 70%. The rate of postoperative complications, such as complicated fluid collection, leakage, surgical site infection, and other systemic infections, is higher than for patients receiving elective abdominal surgeries. In our study, 10 (37.1%) patients with Duodenum Perforation underwent immediate surgery while 17 (62.9%) patients underwent surgery on the same day. The mean time interval between admission and surgery of patients was 6.22 ± 3.39 hours. All patients (100%) with Appendicular Perforation underwent surgery on the same day. The mean time interval between admission and surgery of patients was 10.11 ± 2.93 hours. Simple closure with omental patch with thorough peritoneal toileting was very much effective.