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Analysis Study Research Paper | General Surgery | India | Volume 12 Issue 5, May 2023
Effectiveness of Mannheim Peritonitis index in Predicting the Morbidity and Mortality of Patients with Hollow Viscous Perforation
Dr. Sonia Tata | Dr. Suhas Taralekar | Dr. Abay Kumar | Dr. Rachana Gaidole
Abstract: Aim: This study was conducted to know efficacy of MPI for predicting morbidity and mortality in hollow viscous perforation. Methods: The present study was conducted at Bharati hospital and research centre, Bharati Vidyapeeth Medical College, Pune from September 2020 to August 2022. The consecutive cases of peritonitis getting admitted in general surgery ward from 2020 to 2022 were included.74 cases of peritonitis were included in the study. Results: The mean age of the patients was 44.84 ? 19.65 years ranging between 18 to 85 years, out of 74, there were 50 (67.6%) male and 24 (32.4%) females, with male to female ratio of 2.08: 1. Pain was the most common symptom reported among 73 (98.6%) patients, followed by vomiting (46 (62.2%)), abdominal distention (19 (25.7%)), organ failure (12 (16.2%)), and fever only in 5 (6.8%) patients. The vitals were unstable in 9 (12.2%) patients. The most common site of perforation reported in this study was gastric present in 34 (45.9%) patients, followed by appendicular in 19 (25.7%), ileal in 6 (8.1%), 5 each had at caecum, duodenum and jejunum. The most common type of peritonitis was localised peritonitis observed in 46 (62.2%) patients and diffuse peritonitis was observed in28 (37.8%) patients. The most common site of perforation reported in this study was gastric present in 34 (45.9%) patients, followed by appendicular in 19 (25.7%), ileal in 6 (8.1%), 5 each had at caecum, duodenum and jejunum. The most common type of peritonitis was localised peritonitis observed in 46 (62.2%) patients and diffuse peritonitis was observed in28 (37.8%) patients. Purulent exudate was characterized in 60 (81.1%) patients and regular in 14 (18.9%) patients. Out of 74 there were 68 (91.9%) patients who were discharged, death was reported in 2 (2.7%) patients and discharge against medical advice (DAMA) was given in 4 (5.4%) patients. Conclusion: The results of this study provided that Mannheim Peritonitis Index scoring system is a simple and effective tool for assessing this group of patients, and can be used as a guiding tool to decide on the management of patient at all level of health care system.
Keywords: Hollow viscous perforation, MPI, Mortality, Peritonitis
Edition: Volume 12 Issue 5, May 2023,
Pages: 486 - 490