A. Vijayalakshmi1, A. Ravi Kamal Kumar2, S. V. P. L. Chandra Kumar3, G. Kiran Kumar4, Venkata Ramana5, K. V. V. Bharath6, Jaheer Abbas7
ABSTRACT: Management of non-traumatic perforation of small intestine has always been a challenge for surgeons as it is associated with high morbidity and mortality.
AIM: To study incidence, risk factors, etiopathogenesis, clinical profile, treatment modalities and post-operative complications of non-traumatic small intestinal perforation.
MATERIALS AND METHODS: A prospective study was conducted between October 2012 to October 2014 in Department of General surgery, Government General Hospital, Guntur which involved study of 150 cases of non- traumatic small intestinal perforation. The risk factors, clinical profile, treatment modalities and postoperative complications were studied.
RESULTS: The most common non traumatic perforation of small intestine was duodenal ulcer perforation (74.66), followed by ileal (24%), jejuna perforation (1.33%). The mean age of presentation is 44 years. After exploratory laparotomy primary repair with omental patch is the most frequent procedure, followed by resection and anastamosis and ileostomy. The overall mortality rate was 15.33%.
CONCLUSION: Early diagnosis, preoperative resuscitation, appropriate antibiotics, early surgical intervention, good post-operative care can bring down mortality and morbidity.
