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STATISTICS OF PRIMARY REPAIR FOR TREATMENT OF ENTERIC PERFORATION

Dr. Chandf Javaria, Dr. Maria Rasool, Dr. Sana Rana

Abstract :

Objective: The purpose of our study was to find out the results of primary repair for treatment of enteric perforation and to relieve the panic of doctors about leakage of enteric perforation repair. Study Design: Randomly case control study. Place and Duration: This study was carried out in the time period of one year from November, 2017 to October, 2018 in surgical ward of Bahawal Victotia Hospital (BVH), Bahawalpur. Methodology: A total number of 100 patients of single enteric perforation with signs of peritonitis were selected for the study. The age of the selected patients was from 18 years to 60 years. After informing about operative and study procedures, took a written consent from all selected patients. Included all those patients who were hemodynamically stable and having signs of peritonitis and with a single enteric perforation having short duration of symptoms (48Hrs). All those patients were not selected in our study who were having Diabetes Mellitus or renal failure, having features of septic shock at the time of presentation along with comorbid conditions like ischemic heart disease, unfit for surgery as by pre-anesthesia assessment, age more than 60 years and having multiple perforations. For at least seven days or until the discharge of patients the postoperative proceedings were recorded. Results: The quantity of males and females were 60 and 40 respectively. There were maximum patients having age up to 30 years with a percentage of 58 percent followed by 20 percent up to 40 years of age. Out of several complications, wound infection was the most common as in 23% patients, fecal fistula was in 14 percent patients, whereas, other complications were septicemia and wound dehiscence leakage. Through x-ray abdomen in standing position found the evidence of presence of Pneumoperitoneum in 91% of cases. Leucopenia and leukocytosis were present in all patients with a rate of 29% and 67% respectively. Wound infection and fecal fistula were the complications noticed in majority as 23% and 14% accordingly. Whereas, miner complications found were anastomotic leakage, septicemia and wound dehiscence. Percentage of mortality was 06 percent during our study. Conclusion: It was concluded that primary repair is among the best choice for the treatment of enteric perforation. As compared to other procedures, the primary repair of perforation is the finest method as it is having lower complication rates and cost effectiveness. Key words: Patients, primary repair, enteric perforation, surgery.

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