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Review Article

JCR. 2020; 7(6): 1130-1133


ASSESSMENT OF MANAGEMENT AND OUTCOME OF HOLLOW VISCOUS PERFORATION IN PATIENTS- A CLINICAL STUDY

Ravindra yadav, Bhagwan M B.

Abstract
Background: Gastrointestinal perforation is a hole in the wall of part of the gastrointestinal tract. The present study was conducted to assess management and outcome of hollow viscous perforation in patients.
Materials & Methods: This study was conducted among 72 patients with perforation of both genders. The site and size of the perforation, clinical features and post operative complications of the procedure were recorded.
Results: Appendicular perforation was seen in 20, duodenum perforation in 32, gastric perforation in 12 and ileal perforation in 8 cases. Common symptoms were pain abdomen in 66, fever in 52, vomiting in 30, distention in 48, inaudible bowel sounds in 59 and rigidity in 32. Operative procedure performed in duodenum perforation was simple closure with Omental patch in 25, bilateral flank drain in 4 and Omental patch reinforce in 3 cases. All 20 cases of appendicular perforation was managed with appendectomy, gastric perforation was managed with simple closure with Omental patch in 8 and closed in 2 layers in 4 cases and ileal perforation was managed with resection anastomosis in 2, closed in 2 layers in 5 and splenectomy & closed in 2 layers in 1 patient.
Conclusion: Authors found that maximum cases were of duodenal perforation and appendicular perforation. Operative procedure was simple closure with Omental patch, bilateral flank drain, Omental patch reinforce, appendectomy, simple closure with Omental patch and closure in 2 layers.

Key words: Appendicular, duodenal perforation, Operative



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