Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Small-bowel perforations. A study of 32 cases

K M Nadkarni, S D Shetty, R S Kagzi

    Archives of Surgery (Chicago, Ill. : 1960)
    |January 1, 1981
    PubMed
    Summary

    Exteriorization of the suture line significantly lowers mortality in small-bowel perforations. This surgical technique is superior, reducing deaths from 43.75% to 12.5% in a study of 32 patients.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Looped inferior gluteal nerve - a novel variation.

    Morphologie : bulletin de l'Association des anatomistes·2025
    Same author

    Complete enclosure of gall bladder inside the lesser omentum - a rare anomaly.

    Morphologie : bulletin de l'Association des anatomistes·2021
    Same author

    Unusual contribution of the first jejunal vein in the formation of the portal vein.

    Morphologie : bulletin de l'Association des anatomistes·2021
    Same author

    Concurrent Variations of Celiac and Superior Mesenteric Arteries.

    Kathmandu University medical journal (KUMJ)·2019
    Same author

    Leishmanicidal activity of the alkaloid-rich fraction from Guatteria latifolia.

    Experimental parasitology·2016
    Same author

    Effect of isodillapiole on the expression of the insecticide resistance genes GSTE7 and CYP6N12 in Aedes aegypti from central Amazonia.

    Genetics and molecular research : GMR·2015

    Area of Science:

    • Gastroenterology
    • Surgical Innovation
    • Infectious Disease

    Background:

    • Small-bowel perforations present typical clinical features, making diagnosis straightforward.
    • Factors influencing outcomes include peritoneal contamination, delayed presentation, and antibiotic resistance.

    Purpose of the Study:

    • To evaluate the effectiveness of suture line exteriorization in treating small-bowel perforations.
    • To identify key factors impacting patient mortality after small-bowel perforation surgery.

    Main Methods:

    • Retrospective analysis of 32 consecutive small-bowel perforation cases over three years.
    • Comparison of mortality rates between patients with and without suture line exteriorization.
    • Assessment of diagnostic accuracy using suprapubic peritoneal paracentesis in a head-high position.

    Main Results:

    • Mortality was 12.5% (2/16) with suture line exteriorization versus 43.75% (7/16) without.
    • Patient outcomes were independent of perforation cause.
    • Higher mortality correlated with increased peritoneal contamination, delayed treatment, and antibiotic resistance.

    Conclusions:

    • Exteriorization of the suture line is a superior treatment method for small-bowel perforations, significantly reducing mortality.
    • Effective management hinges on minimizing peritoneal contamination and prompt intervention.
    • Suprapubic peritoneal paracentesis is a highly accurate diagnostic tool.

    Related Experiment Videos