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Experiences with Peptic Perforations in the Era of PPI: A Tertiary Care Centre Institutional Study

Samir Ranjan Nayak, Professor, Department of Surgery, GSL Medical College and General Hospital, Rajahmundry, East Godavari Dist, Andhra Pradesh 533296, India. , Kodenge Raghavendra Rao1 , Samir Ranjan Nayak2 , Surya Chaitanya3 , Swetha P4 , Venkat Raju5

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New Indian Journal of Surgery 9(5):p 616-620, Sep-Oct 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9518.13

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Abstract

Background: Gastrointestinal perforation is a common abdominal emergency having a high morbidity and mortality [1]. Surgery plays an important role in the management of hollow viscous perforation. Peptic viscus perforation is one of the most common causes of acute abdomen. Evaluating patients who have hollow viscus perforation remains one of the most challenging and resourceintensive aspects of acute surgical care. Aim: To discuss the surgical management in regard with 26 cases of peptic perforation. Methods: A retrospective analysis of 26 cases that underwent exploratory laparotomy for an indication of hollow viscus perforation in the period between June, 2015 and December, 2017. Results: Of the 26 cases that were included in the study it has been observed that the median age of patients has been 46.8 years and 22 (84.6%) were male and 4 (15.4%) were female. 23 (88.4%) cases were managed successfully and had recovered while 3 (11.6%) case expired. Conclusion: The analysis of patient data reveals that early attention and prompt management of a patient presenting with hollow viscus perforation can significantly improve chances of survival. 

Keywords: Omental Patch; Peptic Perforation; Laparotomy

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9518.13

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