Sunita Meshram1, Pradeep Pandey2
BACKGROUND Perforation is the most serious, the most fatal and one of the commonest complication of all gastric and duodenal ulcers and occurs in about 10 to 15% of all recognized chronic peptic ulcers. The objective was to study the post-operative complications of Peptic Perforation. MATERIALS AND METHODS A hospital based Study was carried out from 1997 to 1999 for a period of 2 years in the Department of surgery of Hamidia Hospital Bhopal. A total of 154 consecutive cases of peptic perforation, particularly dealing with their clinical manifestations and management were studied. The Permission from Institutional Ethics Committee was obtained. From each and every patient included in the study, initially informed individual consent was taken. RESULTS Out of 154 cases of benign ulcer perforations, 24 cases (15.58 percent) on 2nd day, 101 cases (65.58%) on 3rd day, 23 cases (14.93%) on 4th day, 4 cases (2.6 %) on 5th day, and 2 cases (1.29 %) on 6th day are seen. different types of Post- operative complications. 44 cases of peritonitis, 15 cases of shock, 8 cases of perforation, 10 cases of paralytic ileus, 8 cases of diarrhea, 4 cases of haemorrhage, 48 cases of wound infection, 12 cases of gaping of wound not requiring secondary suture. CONCLUSION Most common post- operative complications were infection and disruption of wound, peritonitis and shock. Most lethal complications were peritonitis, shock and re – perforation. Close follow- up at interval of three months is recommended for every case of perforation treated by simple suture. In case of recurrence of ulcer symptoms failing to respond medical treatment, gastro- jejunostomy and truncal vagotomy is recommended.
