Dr Bahjat Najeeb, Dr Kainat Altaf, Dr Sidra Sajid
Background: Aperture of peptic ulcer is a perilous crisis and related with checked post careful dismalness Objective: To enroll the indicators of the postoperative bleakness in carefully treated patients of punctured peptic ulcer. Methods: A cross sectional examination was led at Surgical Departments of Allied and DHQ Hospital Faisalabad. Clinically and radiologically suggestive yet carefully demonstrated, 60 instances of the punctured peptic ulcer were incorporated into the investigation. Conceivable indicators were recorded on affirmation just as amid medical procedure. Postoperatively, patients were dealt with and followed up for the advancement of difficulty till the season of release. Contingent on the nearness/nonattendance of the post usable intricacies, patients were isolated into two gatherings. Information was entered and broke down by utilizing SPSS rendition 11. Results: In our examination, age extended from 24-80 years. 26.7 percent of the cases had clinical highlights of stun at introduction. Smoking was noted in 47 percent of the cases. In 97% of the cases, the span of puncturing was under 1 cm while the greater part of the cases had measure of peritoneal spillage more than 1 Liter. The most widely recognized entanglement was wound disease. The vast majority of the patients were released home between the seventh and tenth postoperative days. Age more than 40 and male sex (p-esteem < 0.147) was not observed to be related with expanded danger of advancement of the post usable complexity. Confusion rate was observed to be very high for the patients showing following 72 hours of the improvement of the torment (p=0.006, OR=9.3). Different elements which demonstrated noteworthy distinction between the two gatherings for the advancement of confusion included stun at introduction ( p-value= 0.032), history of smoking (p-value= 0.002) and the nearness of related medicinal disease (p-value= 0.01). Conclusions: History of smoking, late presentation, presence of the associated medical illness and presence of shock at the time of presentation significantly influences the rate of development of post operative complications. Key words: predictors, perforation peptic ulcer, complications.