Muhammad Ayub Jalbani, Raja Seelro, Tufail Peecho.
Management of Peptic perception among patients admitted in surgical ward of Chandka Medical College Hospital Larkana Pakistan.
Pak J Public Health Jan ;5(4):34-7.

Objectives: To determine the frequency and management of peptic perforation among the patients admitted in surgical ward of Chandka Medical College Hospital Larkana Pakistan. Study Design: A descriptive cross sectional study design. Place and duration: Study was conducted at surgical unit I and II of Chandka Medical College (CMC) teaching hospital Larkana from February 2012 to March 2014. Methods: Convenient sampling method was adopted by including all the patient of gastric perforation admitted in both surgical units, coming to Out Patients Department (OPD) and referred through medical wards in CMC hospital. Total 50 patients in two year of study period had been enrolled in this study after taking the written consent. Data was entered in the structured Performa and analyzed. Results: Out of 50 cases of peptic perforation 39(78%)were males while 11(22%)were females. one patients had Ca stomach with perforation.All the patients operated with midline incision.Simple closure with omental patch was done in 48 patients (96%)in one patient (2%)along with Simple closure, gastrojejunostomy was performed another patients perforation was sealed. Post operatively patients developed complications fever12% chest infection22% wound infection 4% brust abdomen2% leakage 4% uremia 12% intraabdominal collection 14% 6 patients (12%) expired 44 patients (88%)improved and discharged with ulcer healing drugs. Conclusion: Patients of peptic perforation should be resuscitated, rehydrated their electrolytes imbalance and anemia should be corrected before surgery. Surgery should be performed earlier because delay can cause increased morbidity and mortality. Simple closure with omental patch was found convenient, easy and effective modality of treatment for peptic perforation. Key Words: Peptic ulcer disease, peptic perforation, peritonitis, simple closure and gastrojejunostomy.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com