Perforation Peritonitis Case Study

Treatment of perforation peritonitis remains to be extremely challenging regardless of the improvements in diagnosis and operative treatment. We found that surgery within the first six hour after diagnosis of perforation peritonitis had good outcomes in relations of earlier resumption of normal diet , shortening the length of stay in hospital and length of stay in
ICU. Our overall mortality rate was 10%, which is lower
4–7 than reported by other studies. In comparision to early intervention patients, late intervention patients develop more postoperative complications (34.3 % vs. 17.8%, P=0.022).
Perforation peritonitis is a fatal surgical emergency and needs effective resuscitation and appropriate prompt surgery. Early definitive diagnosis,
The most usualcause for a delay in operation is trouble in making the accurate diagnosis.
Most of patients are dehydrated, septic and hypotensive, who needs aggressive resuscitations causing in knowinglylate
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operation . Though, it is important to think that cause control of the infection is the importance in the treatment of any perforation peritonitis patient. In spite ofseveral scoring systems and models had to distinguish between primary and secondary peritonitis , the diagnosis predicting mortality and
12–14 morbidity is quietchallenging and the most important thing remains timelyscientific diagnosis . Generally , patient get a plain film to rule out gas under both domes of the
14–18 diaphragm which is most common and feasible test. Most of the time , we do computed tomography techniques to
19 confidently rule out the need for immediate surgery.
The many studies stated upto 72% mortality rate when there is delay in surgery. The mortality rate of 16.4% reported with median time to surgery of 8.4 hour , while high risk of death during hospital admission will be there if interval >14 h from
20–22 diagnosis to surgery in patients with septic shock. These patients are seen almost immediately in our institution by