Original Research Article
Year: 2020 | Month: August | Volume: 10 | Issue: 8 | Pages: 15-18
Pattern of Pneumoperitoneum in Generalised Secondary Peritonitis: A Descriptive Observational Study in a Tertiary Care Hospital in Trans Himalayan Region
Raj Kumar1, Anjali Sharma2, Rahul Gupta3, Rajesh Chaudhary4
1MS General Surgery, Civil Hospital Baijnath, Himachal Pradesh
2Resident Doctor, Department of Microbiology, DRPGMC Kangra at Tanda, Himachal Pradesh
3MD Community Medicine, District Programme Officer, Health and Family Welfare, Himachal Pradesh
4MS General Surgery, Civil Hospital Nagrota Bagwan, Himachal Pradesh
Corresponding Author: Anjali Sharma
ABSTRACT
Pneumoperitoneum is the presence of air in peritoneal cavity. Surgical pneumoperitoneum occurs when there is leakage of air and visceral contents into the peritoneal cavity and leads to secondary peritonitis. This study was aimed to determine the pattern of pneumoperitoneum in the patients admitted with secondary generalised peritonitis and find the possible etiology of peritonitis which may guide for the plan of surgery. This descriptive observational study was conducted in the Department of Surgery Dr. Rajendra Prasad Government Medical College Kangra at Tanda consisting of all the patients having acute generalised secondary peritonitis presented in emergency department or Surgery outdoor patient department over a period of one year from 2016 to 2017.This study reviewed 153 patients admitted with secondary generalised peritonitis. Out of which only 135 patients were having pneumoperitoneum and included in study. The most common surgical interventions done were Cellan Jones Omental Patch Closure in 108(80%).The median time of operation was 50 minutes with the minimum time of 30 minutes and maximum time of 120 minutes. Perforations are more common in gastroduodenal area in patients having pneumoperitoneum with peritonitis.
Key words: Peritonitis, Tertiary care hospital, North India, Management, Pneumoperitoneum