A clinical study to predict the outcome of patients with hollow viscus perforation in a tertiary care hospital using manheim peritonitis index

Dr Ramaswamy Naik M,Dr Sailaja K

doi:10.17511/ijoso.2018.i02.07

Dr Ramaswamy Naik M, Dr Sailaja K

Open Access

https://doi.org/10.17511/ijoso.2018.i02.07

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Abstract

Introduction: Since a longtime multiple effort are been put forwarded to design an effective scoring system as to predict the outcome as to mortality and morbidity of patients admitting to hospitals with hollow viscus perforations. Of number of proposed systems Mannheim Peritonitis index is quite simple and effective scoring system proposed to predict the outcome of the patients admitted to hospital with hollow viscus perforations. Objective: To assess the validity of Mannheim Peritonitis Index (MPI) for predicting the surgical outcome, mortality and morbidity of cases presenting with Hollow viscus perforation. Method: Current prospective study was one over a period of three years form 2014-2017 at Department of Surgery, Government Medical College, Anantapuramu and included 100 cases between 17-46 years of age. Results: The results of the current study indicated that duodenal perforations are common amongst the hollow viscus perforations, clear exudates were common among peritonitis cases. about 50% of cases presented with postoperative complications. Subjects fitting into MPI scores between 22-29 presented with surgical site infections. higher MPI scores are associated to higher ICU stays. Higher score are observed in cases with feculent and purulent exudates and in turn to relatively more number of complications. Conclusion: The Mannheim Peritonitis index provide a novel and excellent platform as to predict the surgical outcome, mortality and morbidity in cases of hallow viscera perforations with peritonitis with all associated issues related to the conditions.

Highlights

Since a longtime multiple effort are been put forwarded to design an effective scoring system as to predict the outcome as to mortality and morbidity of patients admitting to hospitals with hollow viscus perforations
In the aforementioned background the current study is undertaken to evaluate the outcome of frequently performed surgery for hollow viscus perforation, to select a scoring system the suits better for our institution to be taken as a standard protocol and to assess the validity of Mannheim Peritonitis Index for predicting the surgical outcome, mortality and morbidity of cases presenting with Hollow viscus perforation
Distribution of cases as to Mannheim Peritonitis Index (MPI) Scoring: It can be deduced from the table no-5 that most of the cases amounting to about 64% fall under a MPI score of

Summary

Introduction

Since a longtime multiple effort are been put forwarded to design an effective scoring system as to predict the outcome as to mortality and morbidity of patients admitting to hospitals with hollow viscus perforations. Objective: To assess the validity of Mannheim Peritonitis Index (MPI) for predicting the surgical outcome, mortality and morbidity of cases presenting with Hollow viscus perforation. Conclusion: The Mannheim Peritonitis index provide a novel and excellent platform as to predict the surgical outcome, mortality and morbidity in cases of hallow viscera perforations with peritonitis with all associated issues related to the conditions. It has been always a herculean task to predict and counsel as to the outcome of various surgeries performed in a health set up.

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