Management of Critically Ill Patients of Hoiiow Viscus Perforation by Mini Laprotomy Followed by Regular Laprotomy
Keywords:
Hollow viscus perforation, morbidity, mortality.Abstract
Background: Gastrointestinal perforation is a common abdominal emergency having high morbidity and mortality. Surgery plays an important role in the management of perforation.Methods: 20 cases of critically ill patients with abdominal compartment syndrome are taken for the study. Abdominal compartment pressure more than 25 cm of NS are taken for the study. Study period is from January 2016 to February 2020.Patients are managed differently .mini laparotomy done under local anesthesia, abdomen decompressed. later regular surgery done. Results: Results obtained in this study are analyzed. In Majority of patients BP improved by10to20mmhg after mini laparotomy done under local anesthesia and urine out put also star ted increasing. Duodenal ulcer perforation is the commonest cause and then typhoid ulcer perforation. Smoking and alcohol intake are the common etiology for D.U. perforation. In this study mortality is 5%.Conclusion :Though mortality is high in critically ill patients of hollow viscus perforation, here probably mortality has reduced due to mini laprotomy done under local anesthesia. More studies are required to know more about This study.
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Copyright (c) 2021 Chandrashekaraiah KC, Arun K, Chandrashekar Naik G
This work is licensed under a Creative Commons Attribution 4.0 International License.