A Clinical Study of Perforation Peritonitis Using Mannheim’s Peritonitis Index
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 7
Abstract
Acute peritonitis is a common surgical emergency because it is associated with a high degree of mortality. Peritonitis is defined as inflammation of the serous membrane that lines the abdominal cavities and organs contained in them. Most of the causes of peritonitis are due to an invasion of the peritoneal cavity by bacteria. Mannheim’s Peritonitis Index (MPI) scoring system that helps to determine the condition of the patient in order to provide better management. We in the present study tried to evaluate Mannheim's peritonitis Index in patients with perforation peritonitis reported to the Department of General Surgery. Methods: This prospective study was carried out in the Department of General Surgery, Prathima Institute of Medical Sciences, Naganoor, and Karimnagar. A total No of 50 patients were included in the present study. The inclusion criteria were all the patients of either sex presented with acute abdomen and on investigations X-rays, abdomen showing pneumoperitoneum or USG/CT/diagnostic paracentesis when required were used to diagnose as perforation were included in the study. MPI scores were then recorded by the investigators and kept for each patient Results: Patients with total MPI less than 21, the second category was those between 21- 29 and lastly those with greater than 30. In the category of < 20 scores there 23 patients no deaths were reported in this group. In between 21- 29 score group there were 19 patients and one death was reported in this group the mortality rate in this group was 5.26% and in the > 30 group 8 patients were included with the death of 2 patients the mortality rate of this group was 25%. It can be concluded the Mannheim’s peritonitis index is an easy and reliable means for assessment of risk for patients with peritoneal inflammation. Higher risk of MPI indicates greater likely hood of poorer prognosis. Overall mortality can be reduced in the patients by decreasing the time lag between presentations of symptoms and starting of treatment.
Authors and Affiliations
Dr. Jayaram Adepu, Dr. Shailaja Adepu
Keywords
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