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An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan
OBJECTIVE: Peritonitis is the most common life threatening surgical emergency, which requires urgent surgical intervention and is a significant cause of morbidity and mortality. The objective of this study was to highlight the frequency of secondary peritonitis and to analyze the site and causes of...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3319418/ https://www.ncbi.nlm.nih.gov/pubmed/22423629 http://dx.doi.org/10.1186/1749-7922-7-6 |
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author | Memon, Ahmer A Siddiqui, Faisal G Abro, Arshad H Agha, Ahmed H Lubna, Shahzadi Memon, Abdul S |
author_facet | Memon, Ahmer A Siddiqui, Faisal G Abro, Arshad H Agha, Ahmed H Lubna, Shahzadi Memon, Abdul S |
author_sort | Memon, Ahmer A |
collection | PubMed |
description | OBJECTIVE: Peritonitis is the most common life threatening surgical emergency, which requires urgent surgical intervention and is a significant cause of morbidity and mortality. The objective of this study was to highlight the frequency of secondary peritonitis and to analyze the site and causes of perforation, in our tertiary care setup. METHODS: A retrospective analysis of 311 patients of secondary peritonitis was done from July 2008 to June 2010 at Liaquat University Hospital Jamshoro, Hyderabad, Sindh, Pakistan. All cases found to have peritonitis as a result of perforation of any part of gastrointestinal tract at the time of surgery were included in the study. All cases with either primary peritonitis or that due to anastomotic dehiscence were excluded. RESULTS: A total of 311 patients were studied. Most of the patients were males (77%) and (89%) were in the third and fourth decades of life. Majority of the patients presented with pain (97%) associated with bowel symptoms. Most common site of perforation was small bowel (ileal 59%, jujenal 2%). In this series, most common risk factor of perforation was typhoid (43%). Ileostomy was the most commonly performed procedure. Overall morbidity was 48.5% and mortality was 17%. CONCLUSION: Considering the relatively higher rate of typhoid perforation quoted in this study, it is vital that typhoid fever ought to be eliminated by improved sanitation and immunizing programmes, otherwise surgeons will be confronted with its complications. |
format | Online Article Text |
id | pubmed-3319418 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-33194182012-04-05 An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan Memon, Ahmer A Siddiqui, Faisal G Abro, Arshad H Agha, Ahmed H Lubna, Shahzadi Memon, Abdul S World J Emerg Surg Research Article OBJECTIVE: Peritonitis is the most common life threatening surgical emergency, which requires urgent surgical intervention and is a significant cause of morbidity and mortality. The objective of this study was to highlight the frequency of secondary peritonitis and to analyze the site and causes of perforation, in our tertiary care setup. METHODS: A retrospective analysis of 311 patients of secondary peritonitis was done from July 2008 to June 2010 at Liaquat University Hospital Jamshoro, Hyderabad, Sindh, Pakistan. All cases found to have peritonitis as a result of perforation of any part of gastrointestinal tract at the time of surgery were included in the study. All cases with either primary peritonitis or that due to anastomotic dehiscence were excluded. RESULTS: A total of 311 patients were studied. Most of the patients were males (77%) and (89%) were in the third and fourth decades of life. Majority of the patients presented with pain (97%) associated with bowel symptoms. Most common site of perforation was small bowel (ileal 59%, jujenal 2%). In this series, most common risk factor of perforation was typhoid (43%). Ileostomy was the most commonly performed procedure. Overall morbidity was 48.5% and mortality was 17%. CONCLUSION: Considering the relatively higher rate of typhoid perforation quoted in this study, it is vital that typhoid fever ought to be eliminated by improved sanitation and immunizing programmes, otherwise surgeons will be confronted with its complications. BioMed Central 2012-03-16 /pmc/articles/PMC3319418/ /pubmed/22423629 http://dx.doi.org/10.1186/1749-7922-7-6 Text en Copyright ©2012 Memon et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Memon, Ahmer A Siddiqui, Faisal G Abro, Arshad H Agha, Ahmed H Lubna, Shahzadi Memon, Abdul S An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan |
title | An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan |
title_full | An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan |
title_fullStr | An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan |
title_full_unstemmed | An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan |
title_short | An audit of secondary peritonitis at a tertiary care university hospital of Sindh, Pakistan |
title_sort | audit of secondary peritonitis at a tertiary care university hospital of sindh, pakistan |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3319418/ https://www.ncbi.nlm.nih.gov/pubmed/22423629 http://dx.doi.org/10.1186/1749-7922-7-6 |
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