Management of Critically Ill Patients of Hoiiow Viscus Perforation by Mini Laprotomy Followed by Regular Laprotomy

Authors

  • Chandrashekaraiah KC Associate Professor, Department of General Surgery, CIMS, Chamarajanagara,India
  • Arun K Associate Professor, Department of General Surgery, BGSGIMS, Bengaluru,India
  • Chandrashekar Naik G Associate Professor, Department of General Surgery, CIMS, Chamarajanagar,India

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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Published

2021-08-30

How to Cite

Chandrashekaraiah KC, Arun K, & Chandrashekar Naik G. (2021). Management of Critically Ill Patients of Hoiiow Viscus Perforation by Mini Laprotomy Followed by Regular Laprotomy. International Journal of Health and Clinical Research, 4(15), 388–390. Retrieved from https://www.ijhcr.com/index.php/ijhcr/article/view/2536