This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (18)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Study of 32 Cases

K. M. Nadkarni, MS, FCPS; S. D. Shetty, MS; R. S. Kagzi, MS; A. C. Pinto, MS; R. A. Bhalerao, MS, FAMS, FRCS

Arch Surg. 1981;116(1):53-57.

Abstract
• We studied 32 consecutive cases of small-bowel perforations treated in a single surgical unit during the last three years. Clinical features are typical and diagnosis is not difficult. Suprapubic peritoneal paracentesis in head-high position is the most accurate diagnostic investigation. Ultimate results are not related to cause, but are directly proportional to the degree of contamination of the peritoneal cavity, delay in manifestation, antibiotic resistance of the contaminating organism, and the method of treatment of the perforation. There were two deaths in the 16 patients who had exteriorization of the suture line (12.5%), compared with seven deaths in the group of 16 patients who did not have exteriorization (43.75%). Exteriorization of the suture line (16 cases) is a superior method of treatment and significantly lowers the mortality.

(Arch Surg 116:53-57, 1981)

Author Affiliations
From the Department of Surgery, King Edward Memorial Hospital, Bombay, India.

Footnotes
Accepted for publication May 28, 1980.

Reprint requests to Department of Surgery, King Edward Memorial Hospital, Parel, Bombay 400 012, India (Dr Bhalerao).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Small-Bowel Perforation Complicating the Open Treatment of Generalized Peritonitis
Mastboom et al.
Arch Surg 1989;124:689-692.
ABSTRACT