EFFECTIVENESS OF MANNHEIM PERITONITIS INDEX SCORING SYSTEM IN PREDICTING THE MORBIDITY AND MORTALITY IN PERITONITIS DUE TO HOLLOW VISCUS PERFORATION

BACKGROUND Peritonitis due to hollow viscus perforation is one of the common causes for emergency ward admission under surgery department. Its causes vary from the ones requiring immediate surgical intervention to those requiring conservative management. Its accurate diagnosis and management are a challenge to every surgeon. Scoring systems that provide objective descriptions of the patient's conditions at specific points in the disease process aid our understanding of these problems. Hence this study is undertaken to study the effectiveness of Mannheim's Peritonitis Index (MPI) in predicting the outcome in peritonitis patients who presented to Basaveshwara Teaching and General Hospital, Kalaburagi. MATERIALS AND METHODS This study is a clinical, prospective, observational and open study conducted at the department of General Surgery, Basaveshwar Teaching and General Hospital, Kalaburagi from July 2014 to March 2016. The sample size estimation was also done at convenience. RESULTS The mean age of the patients was 45.72 (SD 14.26) years. There was male preponderance (66%) with male to female ratio of 1.9: 1. In our study, the most common aetiology of peritonitis was duodenal perforation seen in 70% of patients, followed by gastric perforation (13%), ileal (12%), jejunal (3%) and appendicular perforation (2%). CONCLUSION Various factors like age, sex, duration, site of perforation, extent of peritonitis and delay in surgical intervention are associated with morbidity and mortality. MPI scoring system is the easiest score to apply. It helps in the determination of the risk during operation and also helps the surgeon know about the possible outcome and the appropriate management. MPI is more effective in predicting the mortality in peritonitis due to hollow viscus perforation.