Abstract
Introduction: In India, the most frequent surgical emergency is perforation peritonitis. Despite improvements in surgical methods, antimicrobial therapy, and critical care support, peritonitis treatment remains a very demanding, challenging, and complicated task. The highest dependability on the Risks' assessment is achieved by MPI, enabling the individual prognosis of peritonitis patients to be predicted.
 Objectives: The goal of the current research was to use Mannheim's Peritonitis Index to assess the prognosis for patients with perforation peritonitis.
 Results: In the current research, we found that the majority of the participants were men (65.38%) and that the bulk of the cases belonged to the 46-55 year age group (25%), which was followed by the 36-45 year age group (23.07%). The most common perforation found in the patients was duodenal (42.30%), which was followed by appendicular (13.46%), gastric (28.84%), fileal (9.61%), jejunal (3.8%), and colonic perforations (1.9%).
 Conclusion: The majority of research participants (46.15%) reported MPI scores between 21 and 29, followed by situations where the MPI score was more than 29, and cases where the MPI score was less than 21, in that order (38.46%).
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