RESUMEN
Introduction:- In the advancement of surgery, post-operative wound infection has been the greatest obstacle from down the centuries. For safe surgery, Lister introduced antiseptic methods. The initiation of antibiotics did raise the hope of a permanent solution to post-operative infection but later it has become the nightmare of the surgeon. Methodology:- Two groups were included in this study. Each group had 200 cases. This study conducted by department of Surgery in Ananta Institute of Medical Sciences and Research Centre, Rajsamand. The duration of the study over a period of one and half year. Result:- In our study, two groups were included, each group has 200 cases. In group A we had found 7% cases infected out of 200 cases, while in Group B had 34% infected cases out of total number of cases. Out of all cases we were found maximum infected cases from 41-50 ages in both groups. Conclusion:- This study conclude that, to prevent surgical-site infections, it is essential for the surgeons to take appropriate steps to avoid local microbial factors.
RESUMEN
Background: The peptic perforation is one of the commonest abdominal surgical emergencies. Common causes are H.pylori, increased inadvertent use of NSAIDS, smoking and stress of modern life. During last few years there has been great revolution in availability of the newer broad spectrum antibiotics, better understanding of disease, effective resuscitation, prompt surgery under modern anaesthesia techniques, and intensive care unit resulted in reducing the mortality. Aims & Objective: To study the recent trends in peptic perforation. Material and Methods: This prospective study was carried out in the department of surgery during period from 1st May 2009 to 30th November 2011. All were indoor patients with diagnosis of peptic perforation in stomach and/or duodenum excluding other sites. Each patient was study in detail with relevant clinical history, examination, laboratory investigations and management. The study comprised of total 50 patients operated for peptic perforation by various modalities. Results: The middle age group was commonest. Smoking, alcohol and stress were common etiological factors. The perforation was common in anterior surface of the first part of duodenum. Wound infection and bronchopneumonia were common post-operative complications. Conclusion: The duration of perforation more than 24 hours and size of the perforation more than 1 cm has increase morbidity & mortality. Early diagnosis and prompt management of shock & septicaemia is important for better prognosis of patients. The simple closure with omentopexy of peptic perforation still remains the first choice as a treatment. H-pylori eradication treatment is mandatory after simple closure of the perforation to prevent recurrence of ulcer.