An experience of percutaneous peritoneal drainage in high-risk perforated peritonitis in general surgical ward of tertiary care hospital lahore, pakistan | [Journal of Ayub Medical College • 2021]

Author(s):

1. Mohammad Sohail Asghar: Department of Surgery, King Edward Medical University, Mayo Hospital Lahore, Pakistan

2. Ahmad Kaleem: Department of Surgery, King Edward Medical University, Mayo Hospital Lahore, Pakistan

3. Balakh Sher Zaman: Department of Surgery, King Edward Medical University, Mayo Hospital Lahore, Pakistan

4. Ameer Afzal: Department of Surgery, King Edward Medical University, Mayo Hospital Lahore, Pakistan

5. Mohammad Sohaib Asghar: Department of Surgery, King Edward Medical University, Mayo Hospital Lahore, Pakistan

6. Sushil Rijal: Department of Surgery, King Edward Medical University, Mayo Hospital Lahore, Pakistan

Abstract:

Background: Although conservative treatment has shown a good reduction in mortality and morbidity the majority of patients still need definitive surgery to get rid of the disease completely. It is of note that immediate laparotomy in high-risk patients who have a prolonged history or have multiple comorbidities or in organ failure is not advisable as it is associated with higher morbidity and mortality, besides improved postoperative intensive care. Methods: We categorized these high-risk patients based on their comorbidities and then performed percutaneous peritoneal lavage to reduce the septic load from the peritoneal cavity before performing the definite procedure. Results: Out of the high-risk patients who survived after the PPD and underwent definitive surgery, 61% survived (n=8/13) while the rest of these, 38.5% expired (n=5). Conclusion: Percutaneous peritoneal drainage initially instituted in high-risk patients to optimize their pre-op condition significantly, improves the outcome and has better results than to operate on such patients straightaway.

Page(s): 226-230

DOI: DOI not available

Published: Journal: Journal of Ayub Medical College, Volume: 33, Issue: 2, Year: 2021

Keywords:

High risk , Laparotomy , Peritonitis , Peritoneal lavage

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