Abstract :
OBJECTIVE: To determine the frequency and pattern on acute peritonitis at tertiary care teaching hospital.
PATIENTS AND METHODS: This descriptive case series study was conducted from July 2015 to December 2015 on the
patients that were provisionally diagnosed as acute peritonitis after relevant investigations and underwent surgical interventions
of ≥12 years of age and either gender. The laparotomy was done under general anaesthesia or epidural anaesthesia while the
postoperatively patients were followed till discharge from hospital and reviewed in OPD for at least one month. The data
collected on pre-designed proforma and analyzed in SPSS 16. The frequency / percentages and mean ± SD was calculated for the
study variables.
RESULTS: During six months study period, total fifty individuals with peritonitis were enrolled and evaluated with 38.98 ± 7.62
mean age ± SD. Majority of the individuals were belonged to rural population (75%) and were males (70%). The common sign
and symptoms observed were pain in abdomen (90%), fever (80%), vomiting (84%), tenderness and rigidity (80%). The leading
etiologies identified were duodenal (50%), appendicular (20%) and ilial perforations (6%). The interventions performed were
omental graft closure (Graham’s patch), simple closure of perforation and resections and anastomosis while the common
complications observed were wound infections (8 patients), fecal fistula (3 patients) and pelvic abscess (3 patients). The
mortality was observed in 10 subjects, of which seven males and three females.
CONCLUSION: Prompt resuscitation and early surgical intervention can reduce the mortality and morbidity in relation to acute
peritonitis.
Keyword :
Peritonitis, Etiology, Complications and Surgical interventions