Abstract

Secondary peritonitis is brought on by bacteria that are discharged into the peritoneal cavity when a hollow VISCUS is perforated. The polymicrobial nature of the illness and the occurrence of mixed aerobic and anaerobic pathogens as the most prevalent offending bacteriologic combination are the two crucial factors that have the most impact on the management of peritonitis. Depending on the site of perforation and pathological condition, appropriate procedure was adopted for its management, that includes omental patch closure, simple closure, open appendectomy, resection anastomosis and loop ileostomy. Postoperatively patients was examined for the development of any complications. The mortality rate in our study was 17% of the total 100 cases presenting with perforation. Mortality was high among duodenal perforation patients, as it was the most common site. Of the total 71 cases with duodenal perforation 14 expired during which the patient presented with pain abdomen for a duration of less than 3 days was five and those within 24 hours were 9. Sepsis was the endpoint in all of these cases

Description