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Perforation peritonitis and the developing world.
Rajandeep Singh Bali1, Sushant Verma2, P N Agarwal1
1Department of General Surgery, Lok Nayak Hospital, New Delhi 110002, India.
ISRN Surgery
|July 10, 2014
Summary
Perforation peritonitis in India is commonly caused by peptic ulcers, appendicitis, typhoid, and tuberculosis. Early surgical intervention and resuscitation are crucial for improving outcomes in these emergency surgical cases.
Area of Science:
- Gastroenterology
- Surgical Emergency
- Public Health
Background:
- Perforation peritonitis is a frequent surgical emergency.
- Understanding its spectrum in India is vital for effective management.
- Tertiary care centers manage diverse cases.
Purpose of the Study:
- To present an overview of perforation peritonitis cases.
- To analyze causes, surgical treatments, and outcomes.
- To compare the Indian spectrum with Western data.
Main Methods:
- Retrospective study of 400 patients.
- Conducted at a tertiary care hospital in Delhi (May 2010 - June 2013).
- Included patients undergoing exploratory laparotomy for perforation peritonitis.
Main Results:
- Peptic ulcer disease was the leading cause (179 cases).
- Other significant causes included appendicitis (74), typhoid (48), and tuberculosis (40).
- Overall mortality rate was 7%.
Conclusions:
- The spectrum of perforation peritonitis in India differs from Western countries.
- Key causes are peptic ulcer, appendicitis, typhoid, and tubercular perforations.
- Prompt surgical intervention with antibiotics and resuscitation is essential.
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