Intraperitoneal Drainage Under Local Anaesthesia In Patients Of Perforation Peritonitis Before Definitive Management: Is It Justified?

  • Rafiul Imad Finan Dept. of surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh.
  • M. M. Ansari Dept. of surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh.
  • Shahab Faria Shahabuddin Dept. of surgery, Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh.JN
Keywords: Perforation peritonitis, intraperitoneal drainage, local anaesthesia.

Abstract

Introduction: Perforation peritonitis is one of the most frequently encounter surgical emergency around the world. In spite of advances in diagnosis, antimicrobial therapy, surgery, it remains a fatal affliction with high mortality rate. This high mortality rate makes way for innovation in techniques in addition to the persisting knowledge for a better outcome.

Aims: A pilot study was conducted, to evaluate the efficacy of intraperitoneal drainage in patients of perforation peritonitis during the resuscitation period before definitive surgical treatment.

Methods: This was a prospective control study, conducted on the patients of perforation peritonitis with gastro-intestinal perforation for a period of 2 years w.e.f. January, 2011 to November 2012. 100 patients were included in this study and were divided into two groups (50 each). Group I- patient with preoperative intraperitoneal drainage under local anaesthesia, group II- patient without preoperative intraperitoneal drainage, before definitive surgery.

Results: The overall morbidity and mortality of the patients in group-I were comparable with those in group-II

Conclusion: Intraperitoneal drainage under local anaesthesia, in patients of gastrointestinal perforation peritonitis seems to be effective in decreasing morbidity and mortality.

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Published
2015-09-03
How to Cite
1.
Finan R, Ansari M, Shahabuddin S. Intraperitoneal Drainage Under Local Anaesthesia In Patients Of Perforation Peritonitis Before Definitive Management: Is It Justified?. IABCR [Internet]. 3Sep.2015 [cited 19Jul.2019];1(1):6-. Available from: https://iabcr.org/index.php/iabcr/article/view/242