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TITLE:

PERCUTANEOUS DRAINAGE FROM PERITONEAL CAVITY IN THE TREATMENT OF PERITONITIS: A SINGLE CENTRE STUDY

AUTHORS:

Rabeea Tahira, Maira Larosh, Saba Ramzan

ABSTRACT:

Abstract: Various factors resulting intestinal perforation including peptic ulcer perforations, ischemic colitis, intestinal obstruction, typhoid or TB infections, cancer, diverticulitis, trauma, and colonoscopy. Objective: To determine the efficacy of percutaneous peritoneal drainage under local anesthesia in terms of morbidity and mortality Study Design: Retrospective Study Setting: The study was conducted in department of Surgery, Mayo Hospital, Lahore Methodlogy: We performed a retrospective analysis of all the cases of acute peritonitis which were subjected to percutaneous peritoneal lavage after being labeled as high risk and unfit for general anesthesia. Results: 5 /18 [27 %] expired after the drainage [4 of these had multiple organ failure at the time of presentation ]. About 27% [n= 5] expired after the definitive surgery so we attribute this mortality to the definitive surgery which is still lesser than the mortality of this procedure. Conclusion: Percutaneous peritoneal drainage initially done on the high risk patients to optimize their pre op condition significantly improves the outcome and has better results than to operate on such patients straightaway Keywords: Peritonitis, Perforation, Percutaneous, Aspiration, Morbidity, Mortality, Surgical Care, Intensive care

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