Abstract

Death and disability are both common results of perforative peritonitis. Most patients' postoperative recovery periods are uncertain even if they get to the hospital as soon as possible. Post-operative outcomes for patients are greatly influenced by the existence of these elements. We can determine whether patients are at a higher risk of mortality or complications through this prospective trial and treat them accordingly. Methods: 40 patients hospitalized to Department of General Surgery, Ayaan Institute of Medical Sciences, Moinabad, Telangana, India with perforative peritonitis provided the clinical data for this study. Consent to participate in the study was acquired after patients were given information about it. The trial lasted for a full year, from December 2021 to November 2022, and the postoperative follow-up lasted for a full four weeks. Results: The mortality rate was found to be 1.1 times the expected rate, and the morbidity rate was found to be 1.1 times the actual rate, all as a result of using linear analysis. Mortality and morbidity rates were similar to what was predicted by the data. The results were consistent with those of earlier research efforts. Perforation-to-operation time and the existence of co-morbidities were the two parameters investigated separately. There was shown to be a statistically significant relationship between these two factors and the end result. Conclusion: In perforative peritonitis surgeries, POSSUM rating predicted post-operative outcomes. It could identify high-risk patients for specialist care. That's why it's crucial to adjust the scoring system to each surgical type: improved results and patient-centered treatment.

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