CLINICAL STUDY ON NON-TRAUMATIC PERFORATIONS OF SMALL INTESTINE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 17
Abstract
Management of non-traumatic perforation of small intestine has always been a challenge for surgeons as it is associated with high morbidity and mortality. AIM: To study incidence, risk factors, etiopathogenesis, clinical profile, treatment modalities and post-operative complications of non-traumatic small intestinal perforation. MATERIALS AND METHODS: A prospective study was conducted between October 2012 to October 2014 in Department of General surgery, Government General Hospital, Guntur which involved study of 150 cases of nontraumatic small intestinal perforation. The risk factors, clinical profile, treatment modalities and postoperative complications were studied. RESULTS: The most common non traumatic perforation of small intestine was duodenal ulcer perforation (74.66), followed by ileal (24%), jejuna perforation (1.33%). The mean age of presentation is 44 years. After exploratory laparotomy primary repair with omental patch is the most frequent procedure, followed by resection and anastamosis and ileostomy. The overall mortality rate was 15.33%. CONCLUSION: Early diagnosis, preoperative resuscitation, appropriate antibiotics, early surgical intervention, good post-operative care can bring down mortality and morbidity.
Authors and Affiliations
Vijayalakshmi A, Ravi Kamal Kumar A, Chandra Kumar S. V. P. L. , Kiran Kumar G, Venkata Ramana, Bharath K. V. V. , Jaheer Abbas
Keywords
Related Articles
- EP ID EP227301
- DOI 10.18410/jebmh/2015/360
- Views 80
- Downloads 0
EFFECT OF GENDER DIFFERENCE ON BRAKE REACTION TIME
BACKGROUND OF THE STUDY Reaction time is the time taken to respond to a stimulus or change in the environment. It is a method to assess the time taken from the perception of a stimulus followed by mental processing for a...
MAGNITUDE OF DRY EYE AMONG MEDICAL STUDENTS AND ITS IMPACT ON THEIR MENTAL HEALTH: A QUESTIONNAIRE BASED SURVEY
BACKGROUND Dry eye is a common disease affecting worldwide. Dry eye is defined as a multifactorial disease of tears and ocular surface that results in discomfort, visual disturbance and tear film instability with potenti...
IMAGING OF INTRACRANIAL SPACE OCCUPYING LESIONS- A PROSPECTIVE STUDY IN A TERTIARY CARE CENTRE- GGH, KAKINADA, A.P.
BACKGROUND The high morbidity and mortality associated with ICSOLs necessitates their early diagnosis so as to plan the required intervention. An analysis of 50 cases of Intracranial Space Occupying Lesions (ICSOL) inclu...
PROXIMAL RADIUS RECONSTRUCTION BY METATARSAL OSTEOCHONDRAL AUTO GRAFT
17 Year Old student, Pavan presents with swelling since 8 months. Swelling was diffuse over forearm. Tenderness was present. No local rise of temperature. Range of movement at elbow was restricted and painful terminally....
ONE OF THE LONGEST APPENDIX: A RARE CASE REPORT
The vermiform appendix is an organ that can have variable sizes. We are prompted to report here one of the longest appendix removed, measuring about 16cm in length. INTRODUCTION: The vermiform appendix is an organ that c...