DOI: 10.36347/sjams.2021.v09i01.017

Pages: 86-91

Introduction: Peptic Ulcer Disease (PUD) is one of the most common causes of acute abdomen in Bangladesh. Aim of the study: The aim of the study is to find out the post-operative outcome (Mortality and Morbidity) and to correlate the outcome with the prognostic factors. Method: This study was carried out in the Department of surgery, Rajshahi Medical college Hospital, Rajshahi, Bangladesh during the period from Jan 2015 to Dec 2019 for five years with the aim to find out the surgical outcome and associated prognostic factors. In this study 300 cases of perforated duodenal ulcer were randomly selected. Both male and female patients of any age group diagnosed as duodenal ulcer perforation were included in this study but the patients having gastric ulcer perforation were excluded because the surgical modality and outcome variables of those patients are different. The diagnosis of peptic ulcer perforation was made by the history of sudden onset of severe abdominal pain with clinical signs of diffuse peritonitis and presence of radiological sign of pneumoperitoneum. Per operative finding of gastric ulcer perforation or any suspicion of malignancy were excluded from the study. Any patients with traumatic pneumoperitonium were also excluded from the study. Results: Among the 300 cases, most of the patients were male (91%=273), from low socioeconomic family (77%=231) and from rural areas (81%=243). Many patients arrived at hospital with significant lapse of time of average 2 days delay ranging from 1 day to 9 days and many patients had significant hemodynamic and biochemical abnormalities with or without systemic sepsis and septicemia. A number of patients were presented with single or multiple co morbidities like DM, IHD, HTN, COPD etc. Among the 300 cases, 14 (4.7%) mortality was found, Wound infection (SSI) rate was 13.5% (41), Burst abdomen 08 (3%) and Chest infection was 31 10% in the form of pulmonary atelectasis or pneumonia. Conclusion: Mortality was found to ......