scholarly journals Mannheim Peritonitis Index (Mpi) Score as A Predictor of Outcome in Patients with Secondary Peritonitis

2018 ◽  
Vol 4 (2) ◽  
pp. 6-9
Author(s):  
Pravin Joshi ◽  
Rajesh Poudel ◽  
Kailash Chandra
Keyword(s):  
Retrospective Study ◽  
Scoring Systems ◽  
Age Group ◽  
Medical Sciences ◽  
Mannheim Peritonitis Index ◽  
Bacterial Peritonitis ◽  
Post Operative Period ◽  
Surgical Emergencies ◽  
Perforation Peritonitis ◽  
The Common

INTRODUCTION: Secondary bacterial peritonitis from hollow viscous perforation is one of the common surgical emergencies and carries higher mortality. Several scoring systems are applied to predict the outcome of patients with perforation peritonitis. Mannheim Peritonitis Index (MPI) is one among many. Our aim of the study is to evaluate Mannheim peritonitis Index for predicting the outcome in patient with secondary bacterial peritonitis. MATERIALS AND METHODS: A retrospective study was conducted in the Department of General Surgery, Universal College of Medical Sciences, Bhairahawa from February 2012 to July 2013. All patients clinically diagnosed as peritonitis and who underwent laparotomy were included in the study. MPI score of all the study patients were calculated and categorized into three groups depending upon the score; less than 15, 15-25 and more than 25. Mortality of patients from each group was calculated and predictive value of each factor was determined.  RESULTS: Total 60 patients were included in the study. Forty-four were male and sixteen were female. There were total five mortalities. All were of above 50 years age group. Patients beyond 50 years of age had a significantly higher (p = .005) probability of dying in the early post-operative period. MPI score more than 15 was not statistically significant (p = .06), patients with MPI more than 25 had more probability of dying, hazard ratio (HR 3.4 with 95% CI).Journal of Universal College of Medical Sciences (2016) Vol.04 No.02 Issue 14, page: 6-9

scholarly journals Effectiveness of Mannheim peritonitis index scoring system in predicting the morbidity and mortality in peritonitis due to hollow viscous perforation

2021 ◽  
Vol 8 (5) ◽  
pp. 1490
Author(s):  
Sachin Murukanahalli Basavaraju ◽  
Akshatha Hebbale Srinivas ◽  
Rakshitha Janardan
Keyword(s):  
Organ Failure ◽  
Scoring System ◽  
Morbidity And Mortality ◽  
Medical Sciences ◽  
Mannheim Peritonitis Index ◽  
Mortality And Morbidity ◽  
Post Operative Period ◽  
Operative Complications ◽  
Risk Patients ◽  
Perforation Peritonitis

Background: To study the spectrum and prognostic factor in perforation peritonitis. To evaluate the outcome of patients and identification of high risk patients using Mannheim peritonitis index.Methods: 80 patients with hollow viscous perforation admitted in the Dept. of Surgery Adhichuchanagiri Institute of Medical sciences from January 2019 to June 30 2020 were included in the study. Necessary data was collected; MPI score was calculated for each patient and analysis done.Results: The number of post-operative complications, hospital stay and mortality proportionately increased with the MPI score. In our study Age >50 years, Organ failure at admission pre operatively and MPI scoring found to be statistically significant. Out of the 8 variables used in this scoring system, age more than 50 years and organ failure on admission carried more significance in predicting the morbidity and mortality in the post operative period than the other variables.Conclusions: Mannheim peritonitis index is a simple and effective method in predicting the mortality and morbidity of patients with hollow viscous perforation.

scholarly journals A prospective study of effectiveness of Mannheim peritonitis index scoring system in predicting the morbidity and mortality in peritonitis due to hollow viscous perforation

2020 ◽  
Vol 7 (7) ◽  
pp. 2255
Author(s):  
Sitaram Yadav ◽  
Ramesh Suthar ◽  
Rajaram Meena ◽  
R. S. Meena
Keyword(s):  
Prospective Study ◽  
Tertiary Care ◽  
Scoring Systems ◽  
Age Group ◽  
Mannheim Peritonitis Index ◽  
Risk Of Death ◽  
Etiologic Agents ◽  
Perforation Peritonitis ◽  
A Prospective Study ◽  
Chemical Irritants

Background: Peritonitis is defined as inflammation of the peritoneal cavity, caused by a number of etiologic agents including bacteria, fungi, viruses, chemical irritants, and foreign bodies. The Mannheim peritonitis index (MPI) is one of the simple scoring systems in use that allows the surgeon to easily determine outcome risk. Aims and objective: To estimate outcome of patients with perforation peritonitis. To evaluate effect of MPI score in identification of high risk cases.Methods: A prospective study was conducted in 100 patients with peritonitis due to hollow viscous perforation at surgical unit of tertiary care unit. The duration of study was 2 years. All the data was recorded. Written informed consent was obtained and data was analyzed using appropriate analysis strategy.Results: In this study, total 100 patients enrolled, out of which 54 % patients were in the age group <50 years and 46% patients were in the age group >50 years. Mortality was higher among patients with age group more than 50 years (21%) and in female patients (37.93%). 18 patients had organ failure. 87 patients had preoperative duration was >24 hours. 93% patients had non-colonic origin of sepsis. In 52 (52%) patients total MPI score was <21 while 25 (25%) patients total score was 21-29 and it was >29 in 23 (23%) patients. Mortality was higher among patients with MPI Score more than 29 (95.65%).Conclusions: MPI is accurate to be used with patients with peritonitis and should be considered reliable and simple reference for estimating their risk of death. This study differs in one adverse outcome variables, non-colonic origin of sepsis, we advocate need for further studies on Mannheim peritonitis index to include colonic origin of sepsis.

scholarly journals MPI score assessment of perforation peritonitis patients

2020 ◽  
Vol 11 (3) ◽  
pp. 4047-4053
Author(s):  
Harshawardhan Vidyasagar Saygaonkar ◽  
Nerlekar H V
Keyword(s):  
Risk Assessment ◽  
Gastric Perforation ◽  
Colonic Perforation ◽  
Duodenal Perforation ◽  
Age Group ◽  
Mannheim Peritonitis Index ◽  
Perforation Peritonitis ◽  
Perforated Peritonitis ◽  
Antimicrobial Treatments ◽  
Clinical Emergency

The most widespread clinical emergency in India is perforation peritonitis. Following improvements in operational procedures, antimicrobial treatments, and care in ICUs, peritonitis control is often very complicated, complicated, and challenging. MPI provides the highest precision of risk-assessment such that specific predictions for patients with peritonitis could be estimated. The objective of this research is to determine the prognosis for perforated peritonitis patients using the peritonitis index from Mannheim. It is also targeted at a) assessing the results in Mannheim peritonitis test perforation cases b) evaluating elevated incidents of perforated peritonitis on the Peritonitis Scale with Mannheim. C) Determining the function of the Mannheim Peritonitis Index in decision-making on peritonitis surgery. This research measured the diagnosis of perforated peritonitis patients utilizing peritonitis score of Mannheim’s Index. In the present study, we observed that the majority of the study subjects were males (65.38%), and many of the cases ranged from the age group of 46-55 years (25%), as well as 36-45 years (23.07%). The majority of the cases had duodenal perforation (42.30%), followed by gastric perforation (28.84%), appendicular perforation (13.46%), filial perforation (9.61%), jejunal (3.8%), colonic perforation (1.9%). We observed that the majority of the study subjects reported the MPI score between 21-29 (46.15%), followed by (38.46%) cases who reported MPI score of more than 29, and 15.38% who reported MPI score less than 21.

scholarly journals A Retrospective and Epidemiological Survey of Patients with Esophagus Cancer in Ilam City During a 10 Years Period

2017 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Hamed Zarei ◽  
Hamed Tavan
Keyword(s):  
Retrospective Study ◽  
Lipid Profile ◽  
Urban Areas ◽  
Epidemiological Survey ◽  
High Rate ◽  
Anatomical Site ◽  
Tumor Type ◽  
Age Group ◽  
Esophagus Cancer ◽  
The Common

Background: esophagus cancer is the sixth deadly cancer among other types with high rate of death which has made it one of the common cancers. Based on what mentioned, this retrospective study was designed to assess the tumor incidence rate in a 10 years period in Ilam city.Materials and methods: this is a retrospective study during 1385 till 1394 in Ilam city. Our source of patients was the afflicted patients. The sample size and the statistical society of research were determined based on census. The research materials included of two types first included the demographic information of patients (age, gender, tumor type, level of education, residency, smoking and lipid profile) and the second part was some information about the esophagus cancer (anatomical site, pathologic findings and lipid profile).using SPSS version 19, the data was analyzed. Results: the statistical society included 150 individuals afflicted with esophagus cancer in which the most prevalent age group was men older than 70 years (31.3%). In terms of anatomical site, the middle third of esophagus had 75 cases (50%), the last third had 45 cases (30%) and the first third had 30 (20%) individuals. Furthermore, as time went on, the number of new cases increased. Conclusion: the risk factors for occurring the cancer were the age group greater than 70 years, being male, lower educational situation, unemployment, living in an urban areas, smoking, hereditary, hyperlipidemia (LDL, TG, CHOL) and finding tumor in middle third of esophagus (because of existing helicobacter pylori virus and impropriate diet). Being able to identify endangered people, one could begin treating patients and thereby, saving time, cost and increasing the rate of survivors.

scholarly journals Adenomyosis: correlating clinical suspicion with histopathological diagnosis in a retrospective study

2019 ◽  
Vol 8 (12) ◽  
pp. 4674
Author(s):  
Preet Kamal ◽  
Ripan Bala ◽  
Madhu Nagpal ◽  
Harleen Kaur
Keyword(s):  
Retrospective Study ◽  
Histopathological Examination ◽  
Abnormal Uterine Bleeding ◽  
Reproductive Organs ◽  
Histopathological Diagnosis ◽  
Medical Sciences ◽  
Common Causes ◽  
Chief Complaints ◽  
The Common ◽  
Chronic Cervicitis

Background: Adenomyosis and leiomyoma are the common causes of abnormal uterine bleeding (AUB). In this study it is aimed to evaluate the correlation of clinical and histopathological examination (HPE) of these entities leading to abnormal uterine bleeding.Methods: This retrospective study was carried out on hysterectomy specimens of subjects who presented themselves in the department of obstetrics and gynaecology of Sri Guru Ram Das Institute of medical sciences and research, Amritsar with chief complaints of AUB not responding to conservative treatment.Results: A total of 100 women with clinical diagnosis of AUB in which hysterectomies were performed, leiomyoma was found in 42% cases, adenomyosis in 22% cases. The most frequent combination of diagnosis was leiomyoma and adenomyosis i.e. 26%. In 9% cases chronic cervicitis and ovarian cyst were detected. In one case endometrial malignancy was found.Conclusions: Though adenomyosis and leiomyoma are clinically diagnosed along with other pathological conditions of the reproductive organs but their confirmation is still to be relied upon HPE; a most important investigation.

scholarly journals The Colostomy Complications in Anorectal Malformation: A Retrospective Study

2021 ◽  
Author(s):  
Mohammed Ali Hamdi ◽  
Wamedh Mustafa Mohamed ◽  
Usama Faris Taha Al-Ani
Keyword(s):  
Retrospective Study ◽  
Anorectal Malformations ◽  
Age Group ◽  
Associated Anomalies ◽  
Surgical Department ◽  
Pediatric Age Group ◽  
Stoma Formation ◽  
The Common ◽  
Indications And Complications ◽  
Male To Female

Abstract Background A colostomy is a surgical approach that creates an opening for the colon, or/and large intestine through the abdomen. Anorectal malformations are a group of abnormalities of the rectum and anus that are present at birth. Objective To analyze the common complications of colostomy in anorectal formations. Methods This was a retrospective study conducted on 50 temporary colostomies performed in children at the Surgical Department of the Abu Ghraib General Hospital in the period from January 2018 to January 2020. Information was collected regarding the patients' age, sex, body weight, associated anomalies, colostomy types and sites, and the indications and complications of colostomies. Results A total of 44 (88%) cases were reported in the children's 1st month of life. The ratio of male to female was 1:1. Pelvic colostomy was performed in 48 (96%) patients, as 40 (80%) children underwent a loop-type, and 8 (16%) patients underwent double-barrel colostomy. Transverse colostomy was performed on two patients. Prolapse occurred in 50% of the patients, and skin excoriations occurred in 22% .A total of 10% of the children developed sepsis. Bleeding was seen in 4% of the children after colostomy performance. Stenosis presented in 6% of the children, and this was corrected by repeated dilatation and re-fashioning. Obstruction of intestines was observed in one patient. The retraction developed in 6% of patients. Conclusions Imperforate anus was the most common indication for stoma formation in the pediatric age group. Loop colostomy was the most common type used, and it had the highest rate of complications. Prolapses and skin excoriation were the most common complications found.

scholarly journals Surgical causes of abdominal pain in children: a retrospective study

2018 ◽  
Vol 5 (6) ◽  
pp. 2283
Author(s):  
Balaji Dhanaram ◽  
Sakthivel Chandrasekar ◽  
Baskar Muthukumaraswamy
Keyword(s):  
Abdominal Pain ◽  
Retrospective Study ◽  
Surgical Intervention ◽  
Clinicopathological Features ◽  
Age Group ◽  
Common Causes ◽  
Mesenteric Adenitis ◽  
The Common ◽  
Surgery Department ◽  
Age And Sex

Background: Abdominal pain is a very prevalent problem in children and one of the common causes for visit to the hospital. They may be of acute or chronic presentation and depending on severity may also require admission to hospital.Methods: This is a retrospective study conducted in our hospital over a period of 3 years. About 200 children who came to the hospital with abdominal pain and received treatment in surgical outpatient or referred to surgery department from emergency were included in this study and all relevant data were collected.Results: The pain was found to be more in boys and in the age group of 9 to 12years. The most common cause was found to be mesenteric adenitis followed by acute appendicitis. About 38% of children required surgical intervention on that admission due to various surgical causes.Conclusions: The database of our retrospective study regarding age and sex incidence, clinicopathological features and therapeutic outcome was comparable to other studies in various literatures.

scholarly journals Overview of Kshar-sutra in treatment of Ano-rectal diseases- review of cases treated at ACTH in 2011-2012: Retrospective study

2021 ◽  
Vol 2 (1) ◽  
pp. 19-26
Author(s):  
Shiv Mangal Prasad ◽  
Bishun Dayal Prasad Patel ◽  
Raj Kishor Sah ◽  
Bijendra Shah
Keyword(s):  
Retrospective Study ◽  
Medical Record ◽  
Fiscal Year ◽  
Age Group ◽  
Institute Of Medicine ◽  
Fissure In Ano ◽  
Microsoft Excel ◽  
Fistula In Ano ◽  
Anorectal Diseases ◽  
The Common

Background Anorectal disorders including Fissure in Ano, Fistula in Ano and hemorrhoids are among the most common digestive complications. To our knowledge there is no any retrospective study of previous medical record data of Ayurveda Campus and Teaching Hospital (ACTH), Institute of Medicine, Tribhuvan University, Kirtipur, Kathmandu, Nepal available on the prevalence of major anorectal problems. Therefore, this retrospective was carried out to analyze the medical record of Shalya department OPD in fiscal year 2011-12 A.D. to estimate the prevalence of anorectal problems among the patients of anorectal complaints. Materials and Methods: This was a retrospective study conducted from January 2020 to December 2020 A.D. All the patients visiting the Department with anorectal complaints were screened. Name, sex, age, address and diagnosis was entered into Microsoft excel 2016 from registers of medical record; and analyzed in SPSS Version 2021 after coding the variables in excel.  The findings were presented with percentage and frequency in pie and bar diagram. Results: Overall, anorectal cases (n=1067) were enrolled and analyzed in the study. The findings of major anorectal diseases like Fissure in Ano, Fistula in Ano and Hemorrhoids were commonly found in age group of 21-30 year; and followed by 31-40 year and 41-50 year. Fistula in Ano was also significantly found in the old age group of 61-70 year. Furthermore, the prevalence of Fissure in Ano, Fistula in Ano, Internal and External Hemorrhoids were 20%, 32%, 31.2% and 12% among ano-rectal problems in this hospital during this fiscal year respectively. Conclusion: Anorectal diseases are one of the common diseases observed in adolescent and adult patients which is more common in male than female. The prevalence of hemorrhoids is higher among Fissure in Ano and Fistula in Ano. Ksharasutra is the most effective procedure for treatment of these anorectal diseases.

scholarly journals Mortality rate in patients with Secondary Peritonitis in Ain Shams University Hospitals as regard Mannheim Peritonitis Index (MPI) score

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
T I Ouf ◽  
W A A Jumuah ◽  
M A Mahmoud ◽  
R I Abdelbaset
Keyword(s):  
Intensive Care ◽  
Mortality Rate ◽  
Scoring Systems ◽  
Secondary Peritonitis ◽  
University Hospitals ◽  
Mannheim Peritonitis Index ◽  
Group Iii ◽  
Group I ◽  
Surgical Emergencies ◽  
Risk Patients

Abstract Introduction Secondary peritonitis is one of the most common fatal surgical emergencies. The mortality rate is about 20% even in well- equipped places. The outcome can be improved be rapid surgical intervention and intensive care of the patient. Many scoring systems were developed to identify high-risk patients who may need rapid intervention or intensive care. Mannheim Peritonitis Index (MPI) is an easy and specific score for predicting the outcome of secondary peritonitis. Patients and Method It’s an observational prospective study over 50 patients presented with secondary peritonitis to our E.R during the period from January 2018 to June 2018 and patients were followed up for one month. Patients were divided into three groups according to their MPI score, Group I: with MPI score less than 21, Group II: with MPI score between 21 and 29, and Group III: with MPI score more than 29. Results In the present study, Mortality rate was about 24%. Mortality rates in those groups were 0%, 5.5% and 55% respectively which are similar to results of other studies performed in other places. Cut-off value is 28 with sensitivity 91% and specificity 76%. Conclusion MPI score is effective in predicting outcome of patients with secondary peritonitis in our hospitals.

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