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  • ISSN: 2379-0911
    Early Online
    Volume 6, Issue 1
    Clinical Image
    Luigi Conti*, Davide Pertile, Filippo Banchini, Antonio Banchini, Franco Voltolini, and Patrizio Capelli
    Retained surgical items (RSI) are still an open issue with relevant medico-legal implications; the mere occurrence of these events is expression either of an objective omission by medical staff and carelessness of safety protocols, adducing to the involved health professionals a civil, administrative and penal accountability.
    Research Article
    Vikal Chandra Shakya*, Anir Ram Moh Shrestha, Anang Pangeni, Bikram Byanjankar, Rabin Pandit, Anuj Jung Rayamajhi, Prajwal Bhattarai, Rupesh Yadav, Subhash Paudel, Lokesh Raj Sharma, and Rabin Koirala
    Spectrum of perforation peritonitis in the Nepalese setting hasnít been well documented. This study helps us to understand the different spectrum of this entity as we encounter them in our set-up. This study is a prospective descriptive study in patients presenting with a diagnosis of perforation peritonitis who underwent operative intervention from January 2010 to December 2016 at tertiary centers in central Nepal. A total of 500 patients were included in the study. The mean age of presentation was 37.02 + 19.87 years (range 2-94 years). The most common cause was, duodenal perforation, 201 cases (40.2%); followed by appendicular, 185 patients (37%). The morbidity rate was 37.2%. The mortality rate was 8.2%. 1.8% patients left against our medical advice. The scenario of perforation peritonitis is different in our setting, the most common cause being due to acid-peptic disease, then appendicular perforation and small bowel perforations. The morbidity rate and mortality rate is comparable to other series.
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