To evaluate the role of various clinical and diagnostic procedure in management of caecal perforation

Abstract

Background & Method: The study was conducted in the Department of General Surgery, Maharaja Yashwant Rao Holkar Hospital and Mahatma Gandhi Memorial Medical College, Indore. Fifty patients admitted to surgical emergency with acute abdomen were selected for the study. There was not any preoperative selection criteria; the cases which were proven to be cases of perforation peritonitis on the basis of investigations and clinical examination were taken for study and considered for comparative study if laparotomy diagnosed to be case of caecal perforation.

Result: Fifty patients with caecal perforation were studied. Caecal perforation was commonly observed in 20-30 years. 40 (80%) males were found and the 10 females (20%). Male prepondrance with M:F ratio 4:1. Statistical significance was found between group A and group B in septicaemia with p value=0.017. Conclusion: Right hemicolectomy with ileotransverse anastomosis is most common surgery performed for cases of traumatic perforation. Right hemicolectomy with ileotransverse anastomosis in cases of traumatic caecal perforation plays an important role in reducing the incidence of complications like wound infection, wound dehiscenes, ileostomy and colostomy related complications like weight loss and electrolyte imbalance. This helps reduce mortality in patients undergoing surgery for caecal perforations. Ileostomy-specific complications, however, increase the postoperative stay of the patient. These complications can be reduced, if not outright eliminated, by proper fashioning of the stoma and provision of adequate nursing care of the stoma.

Keywords: Clinical, Diagnostic & Caecal Perforation.