Effect of Early Surgery on Outcome In Perforation Peritonitis

Authors

  • Tika Ram Bhandari Department of Surgery, UCMS, Bhairahawa
  • Rajesh Poudel Department of Surgery, UCMS, Bhairahawa
  • Kailash Chandra Department of Surgery, UCMS, Bhairahawa

DOI:

https://doi.org/10.3126/jucms.v5i1.19048

Keywords:

Early surgery, Perforation Peritonitis, Complication

Abstract

BACKGROUND: Early diagnosis and emergent surgical management of perforation peritonitis remain the mainstay of treatment. The aim of study was to find the effect of early surgery on postoperative outcome in patients with perforation peritonitis.

MATERIALS & METHODS: A retrospective medical report of 200 patients who underwent exploratory laparotomy and proceed for perforation peritonitis from July 2015 to December 2016 was studied. Patients were divided into two groups based on the time of surgery i.e: Early (<6 hours) and late (≥6 hours) intervention groups. All perioperative outcome of surgery were analyzed.

RESULTS: Late intervention patients were more likely to develop complications (34.3 and 17.8%, P < 0.05) and mortality (14 and 6%, P<0.05) in comparison to early intervention patients and had significantly higher median time to resumption of normal diet (5and 2.8 days, length of hospital stay (15 and 9 days) and length of ICU stay (8 and 4 days) (P < 0.05). The time to operation (≥ 6 hours) and preoperative hypotension were independent risk factors for postoperative complications in multivariate analysis.

CONCLUSION: Early surgical intervention within six hours along with broad spectrum antibiotics preceded by adequate aggressive resuscitation improves postoperative outcomes in perforation peritonitis.

Journal of Universal College of Medical Sciences (2017) Vol.05 No.01 Issue 15, page: 12-16

Downloads

Download data is not yet available.
Abstract
698
PDF
621

Author Biographies

Tika Ram Bhandari, Department of Surgery, UCMS, Bhairahawa

Lecturer

Rajesh Poudel, Department of Surgery, UCMS, Bhairahawa

Lecturer

Kailash Chandra, Department of Surgery, UCMS, Bhairahawa

Professor

Downloads

Published

2018-01-21

How to Cite

Bhandari, T. R., Poudel, R., & Chandra, K. (2018). Effect of Early Surgery on Outcome In Perforation Peritonitis. Journal of Universal College of Medical Sciences, 5(1), 12–16. https://doi.org/10.3126/jucms.v5i1.19048

Issue

Vol. 5 No. 1 (2017)

Section

Original Articles

License

Authors have to give the following undertakings along with their article:

  1. I/we declare that this article is original and has not been submitted to another journal for publication.
  2. I/we declare that I/we surrender all the rights to the editor of the journal and if published will be the property of the journal and we will not publish it anywhere else, in full or part, without the permission of the Chief Editor.
  3. Institutional ethical and research committee clearance certificate from the institution where work/research was done, is required to be submitted.
  4. Articles in the Journal are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/)
  5. This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.