Evaluation of Site of Perforation among Secondary Peritonitis Cases and its Association with Outcome in a Tertiary Care Hospital

Abstract

Background: The present study was carried out to evaluate the Site of Perforation among Secondary Peritonitis cases and its association with outcome in a tertiary care Hospital. Material and Methods: This cross sectional study was conducted by Department of Surgery, IGMC, Shimla over a period of twelve months from January 2021 – December 2021 among patients with a diagnosis of secondary peritonitis after fulfilling the inclusion and exclusion criteria. Relevant information was collected and further analysed by using IBM SPSS Statistics. Results: A total of 250 individuals with a diagnosis of perforation peritonitis were assessed in the current study. Males made up 205 (82%) of the total while females made up 45 (18%). The patients' average age was 47.28 17.34 years, ranging from 18 to 87. In the study, 99 (39.6%) of the total patients were under the age of 40, while 151 (60.4%) were beyond the age of 40. Of the total, 32 (12.80%) passed away while 218 (87.20%) were discharged after receiving treatment. The Most common cause was Duodenal perforation among 91 patients (36.4%), Gastric perforation among 83 patients (33.2%), Ileal perforation among 32 patients (12.8%), Jejunal perforation among 16 patients (6.4%) and Other among 28 patients (11.2%). Among the patients who expired due to Secondary Peritonitis, maximum 12(37.5%) had Gastric Perforation followed by Duodenal Perforation in 9 (28.1%) patients. Conclusion: The study concluded that most of patients of secondary peritonitis had Duodenal perforation followed by Gastric perforation. The most common type of perforation among patients who died from secondary peritonitis was gastric followed by duodenal.