naa a22 4500 510723616 CHVBK 20180411082927.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12262-012-0609-2 doi (NATIONALLICENCE)springer-10.1007/s12262-012-0609-2 Spectrum of Perforation Peritonitis in Delhi: 77 Cases Experience [Elektronische Daten] [Dinesh Yadav, Puneet Garg] Perforation peritonitis is the most common surgical emergency encountered by surgeons all over the world as well in India. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counterpart. This study was conducted at Hindu Rao Hospital, Municipal Corporation of Delhi, New Delhi, India, designed to highlight the spectrum of perforation peritonitis in the eastern countries and to improve its outcome. This prospective study included 77 consecutive patients of perforation peritonitis studied in terms of clinical presentations, causes, site of perforation, surgical treatment, postoperative complications, and mortality at Hindu Rao Hospital, Delhi, from March 1, 2011 to December 1, 2011, over a period of 8months. All patients were resuscitated and underwent emergency exploratory laparotomy. On laparotomy cause of perforation peritonitis was found and controlled. The most common cause of perforation peritonitis noticed in our series was perforated duodenal ulcer (26.4%) and ileal typhoid perforation (26.4%), each followed by small bowel tuberculosis (10.3%) and stomach perforation (9.2%), perforation due to acute appendicitis (5%). The highest number of perforations was seen in ileum (39.1%), duodenum (26.4%), stomach (11.5%), appendix (3.5%), jejunum (4.6%), and colon (3.5%). Overall mortality was 13%. The spectrum of perforation peritonitis in India continuously differs from western countries. The highest number of perforations was noticed in the upper part of the gastrointestinal tract as compared to the western countries where the perforations seen mostly in the distal part. The most common cause of perforation peritonitis was perforated duodenal ulcer and small bowel typhoid perforation followed by typhoid perforation. Large bowel perforations and malignant perforations were least common in our setup. Association of Surgeons of India, 2012 Exploratory laparotomy nationallicence Emergency surgery nationallicence Perforation peritonitis nationallicence Primary repair nationallicence Stomas nationallicence Resection and anastomosis nationallicence Yadav Dinesh Hindu Rao Hospital, Malka Ganj, Delhi, India aut Garg Puneet Hindu Rao Hospital, Malka Ganj, Delhi, India aut Indian Journal of Surgery Springer-Verlag 75/2(2013-04-01), 133-137 0972-2068 75:2<133 2013 75 12262 https://doi.org/10.1007/s12262-012-0609-2 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-012-0609-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yadav Dinesh Hindu Rao Hospital, Malka Ganj, Delhi, India aut NATIONALLICENCE 700 1- Garg Puneet Hindu Rao Hospital, Malka Ganj, Delhi, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer-Verlag 75/2(2013-04-01), 133-137 0972-2068 75:2<133 2013 75 12262 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer