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OUTCOME OF LAPAROTOMY FOR PERITONITIS IN 302 CONSECUTIVE PATIENTS IN IBADAN, NIGERIA
O O Ayandipo1, O O Afuwape1, D O Irabor1
1Department of Surgery, College of Medicine, University of Ibadan, Ibadan.; Department of Surgery, University College Hospital, Ibadan.
Annals of Ibadan Postgraduate Medicine
|October 11, 2016
Summary
This study identified key factors influencing peritonitis outcomes in Nigerian patients, revealing a lower mortality rate than other African nations. Prompt surgical intervention and organ support are crucial for improving patient survival in peritonitis management.
Area of Science:
- Surgical Gastroenterology
- Critical Care Medicine
- Public Health
Background:
- Peritonitis is a severe, life-threatening abdominal condition necessitating immediate surgical intervention.
- Despite advancements, peritonitis management remains complex, contributing to substantial patient morbidity and mortality.
- Understanding prognostic factors is vital for optimizing patient care in tertiary healthcare settings.
Purpose of the Study:
- To investigate factors impacting patient outcomes in peritonitis cases.
- To analyze clinical data from patients treated for peritonitis at a Nigerian tertiary hospital.
Main Methods:
- A retrospective analysis of 302 patients diagnosed with and treated for peritonitis over three years.
- Data collected included patient demographics, clinical presentation, surgical procedures, and post-operative care.
- Outcomes and associated factors were systematically reviewed.
Main Results:
- The most frequent cause of peritonitis was ruptured appendicitis (27.5%).
- Complications occurred in 9.2% of patients, with 6.5% requiring intensive care unit admission.
- The overall mortality rate was 2.4%, with shock, anemia, jaundice, and oliguria significantly associated with adverse outcomes.
Conclusions:
- Identified factors influencing peritonitis outcomes align with those in other African countries.
- The study observed a lower mortality rate compared to regional averages.
- Recommendations include enhanced peri-operative organ support and timely surgical intervention to improve peritonitis patient outcomes.