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  2. Volume 9, Issue 4
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Online ISSN: 2515-8260

Volume9, Issue4

Insight into the Management of Non-traumatic Perforation of the Small Intestine at a Tertiary Care Hospital, Bihar

    Dr. Sumeet Kumar, Dr. Chandrakala Kumari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 110-115

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Abstract

Background: Management of non-traumatic perforation of the small intestine has always been a consideration for surgeons because of associated enormous morbidity and mortality. There is a paucity of data on the management of non-traumatic perforation of the small intestine.
Material and Methods: A retrospective study was conducted which involved analysis of 192 patients treated for non-traumatic perforation of small intestine at a tertiary care hospital at Bihar from 2018-2019. The clinical profile and management of the patients were studied.
Results: The most common cause of non-traumatic perforation of small intestine was typhoid (46.4%), followed by non-specific inflammation (39.2%), tuberculosis (12.8%) and malignant neoplasm (1.6%). Primary repair was the most frequent procedure (44.0%), followed by ileostomy (25.5%) and resection-anastomosis (19.3%). Superficial wound infection was the most frequent postoperative complication (46.8%), followed by wound dehiscence (31.3%). The wound infection rate was reduced significantly following delayed primary closure of skin incision. Enterocutaneous fistula/leak developed in 11.5% patients. Salvage ileostomy for post-operative intestinal leak resulted in a better survival rate as compared to conservative treatment (85.7% vs. 50.0%). The overall mortality rate was 16.6%.
Conclusion: Operative procedures undertaken for the management of non-traumatic perforation of small intestine can be classified into two groups: procedures that leave an intestinal suture line inside the peritoneal cavity and procedures that do not. The no suture line-in procedure seems to be better option in adverse patient conditions.
 
 
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(2022). Insight into the Management of Non-traumatic Perforation of the Small Intestine at a Tertiary Care Hospital, Bihar. European Journal of Molecular & Clinical Medicine, 9(4), 110-115.
Dr. Sumeet Kumar, Dr. Chandrakala Kumari. "Insight into the Management of Non-traumatic Perforation of the Small Intestine at a Tertiary Care Hospital, Bihar". European Journal of Molecular & Clinical Medicine, 9, 4, 2022, 110-115.
(2022). 'Insight into the Management of Non-traumatic Perforation of the Small Intestine at a Tertiary Care Hospital, Bihar', European Journal of Molecular & Clinical Medicine, 9(4), pp. 110-115.
Insight into the Management of Non-traumatic Perforation of the Small Intestine at a Tertiary Care Hospital, Bihar. European Journal of Molecular & Clinical Medicine, 2022; 9(4): 110-115.
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