Volume 7 | Issue -2
Volume 7 | Issue -2
Volume 7 | Issue -2
Volume 7 | Issue -2
Volume 7 | Issue -2
Aim: The aim of the present study was to assess the etiological profile, surgical management and its peri-operative complications of peritonitis secondary to hollow viscus perforation. Methods: The present observational study was conducted in the department of general surgery. An analysis of 200 individuals with Generalised peritonitis from hollow viscus perforation was conducted. Gender, diagnosis, operating technique, and first-month peri- operative problems were examined. Results: 38% patients were in the age group of 20-40 years, with 75% males and 25% females. 73% patients had complications and 6% died. Peptic ulcer disease was most common cause with 36% incidence, followed by idiopathic cause with 28% incidence, typhoid with 12% incidence, malignancy 13%, appendicular perforation 8%, followed by trauma 5%. Commonest site of perforation was found to be gastric 36%, followed by duodenal 19% and ileal 17%, large bowel 11%, appendicular 9%, jejunal 8%. Appendicectomy done was 20 (10%) cases. 44 (22%) patients didn’t have any complications. Most common complication being wound infection in 44 patients (22%), followed by abdominal dehiscence in 20 (10%), paralytic ileus in 20 (10%), bronchopneumonia in 38 (19%), fecal fistula in 18 (9%), abdominal abscess in 16 due to anastomotic leak (8%). Conclusion: The most frequent surgical emergency is hollow viscus perforations. The results of surgery and the associated complications are influenced by factors such as age, overall health, location, co-morbidities, and causes, with variations in the underlying mechanisms between tropical nations and the western world. There is also an observed rise in the incidence of cancers.