L. Rajeswar Reddy1, Viswanadh2, Vineesh Krishna3
Acute generalised peritonitis from gastrointestinal hollow viscus perforation is a potentially life threatening condition. It is a common surgical emergency in many general surgical units in the developing countries and it is often associated with high morbidity and mortality. Grading the severity of acute peritonitis has assisted in no small way in decision making and has improved therapy in the management of severely ill patients. Empirically based risk assessment for important clinical events has been extremely useful in evaluating new therapies, in monitoring resources for effective use and improving quality of care.
MATERIAL AND METHODS
A prospective survey of patients with acute generalised peritonitis due to gastrointestinal perforation was carried out in general surgical wards of KIMS Hospital, Amalapuram during the period starting from July 2013-November 2016. The study population consisted of 50 consecutive patients who had laparotomy during the study period for acute peritonitis due to gastrointestinal perforation, after diagnostic conformation.
RESULT AND DISCUSSION
The most common cause of peritonitis in our study was perforated duodenal ulcer (31 cases), followed by appendicular perforation (7 cases), followed by stomach perforation (7 cases). Despite delay in seeking treatment, the overall mortality rate (14%) was favourably comparable with other published series.
