STUDY OF MORTALITY AND MORBIDITY OF PATIENTS OPERATED IN EMERGENCY FOR ILEAL PERFORATION PERITONITIS IN CENTRAL INDIA.

Corresponding Author:
Dr. Lal Mani Singh,
Department of General Surgery,
Sanjay Gandhi Memorial Hospital,
Rewa-486001,
Madhya Pradesh.
E-mail: lalmnsingh@gmail.com

ABSTRACT

Ileal perforation peritonitis is a common surgical emergency in the Indian subcontinent and in tropical countries. It is reported to constitute the fifth common cause of abdominal emergencies due to high incidence of enteric fever and tuberculosis in these regions.

METHODS

This study included 94 patients diagnosed with ileal perforation, admitted and treated in the Department of General Surgery from February 2011 to January 2012 in an Educational Institute of Central India.

RESULT

Out of the 94 patients studied, 72 (76.59%) were males and 22 (23.4%) were females; 8 patients had hypertension, 6 patients had diabetes and 8 patients both HT and DM; 48 patients were diagnosed to have typhoid fever and received antibiotics prior to hospitalization for perforation; 7 patients were taking ATT from DOT’S centre. All the 11 patients who died had symptoms for more than 24 hours. Seven of the 83 survivors had symptoms for more than five days. The surgical intervention was initiated within the first 24 hours of admission in 68 (72.34%) of the patients. The overall mortality rate was 11.7% (11 patients).

CONCLUSION

Early recognition, timely surgical intervention, appropriate antibiotics and surgical technique, pre-operative, post and peri–operative care play a key role in reducing mortality in ileal perforation.

KEYWORDS

Ileal Perforation, Mortality, Morbidity.