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A Study of Site of Hollow VISCUS Perforation Influencing Outcome: Prospective Study

Aditya Godkhindi, Assistant Professor, Department of General Surgery, SDM College of Medical Sciences and Hospital, Manjushree Nagar, Sattur, Dharwad - 580009 , Karnataka. , Abhilash Gautham Ramesh1 , Aditya Godkhindi2

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New Indian Journal of Surgery 9(3):p 272-276, May-June 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9318.4

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Abstract

Site of peroration show a wide variability in different studies and we conducted our study to find out the prognostic outcomes based on site of perforation.

Methodology: A prospective survey of patients with acute generalized peritonitis due to hollow viscus perforation was carried out in general surgical wards of our institute during the period starting from August 2014 to December 2015. Study population consisted of 150 consecutive patients with perforativeperitonitis, which confirmed on emergency laparotomy

Results: Intra operative findings of 150 cases of perforative peritonitis were noted and the sites of perforation were confirmed. Majority were gastroduodenal perforation 109(72.66%), followed by small intestinal perforations 32(21.33%) which included 27 ileal perforations and 5 jejunal perforations. 9(6%) patients had large intestine perforation including 9 colonic perforation, 2 appendicular perforation and 1 rectal perforation. In the study group of 150 patients majority of the patients had gastroduodenal perforation (72.66%). Highest survival rate was seen among gastroduodenal perforation 83 of 109(76.75%).

Keywords: Small Intestine; Peritonitis; Hollow Viscus Perforation.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9318.4

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