TREATMENT AND POSTOPERATIVE OUTCOMES OF PATIENTS WITH PERITONITIS DUE TO COLON PERFORATION AT THAI BINH GENERAL HOSPITAL
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Abstract
Objective: To evaluate the treatment process and postoperative outcomes of patients with peritonitis due to colon perforation at Thai Binh General Hospital.
Subjects and Methods: This study was conducted on 58 patients with peritonitis due to colon perforation treated at Thai Binh General Hospital. Patients were classified based on preoperative medical treatment, surgical method, abdominal condition, and perforation location and cause. Data were collected and analyzed descriptively.
Results: Preoperative Medical Treatment: Most patients were treated with one antibiotic (48.3%) or two antibiotics (44.7%). Carbapenem was used in 17.2% of cases. The average treatment duration was 5.2 ± 3.0 days; Surgical Method: Open surgery was performed on 94.8% of patients, while laparoscopic surgery accounted for 5.2%; Abdominal Condition: 50% of patients had purulent fluid and/or pseudomembranes, while 48.3% had fecal fluid; Location and Cause of Perforation: Perforation mainly occurred in the sigmoid colon (48.3%), with the most common cause being diverticulitis (34.5%).
Conclusion: The study shows that most patients were treated with antibiotics preoperatively and underwent open surgery. The perforation was most commonly located in the sigmoid colon, and the primary cause was diverticulitis. Proper application of preoperative medical treatment and appropriate surgical methods plays an essential role in the treatment outcomes of patients with peritonitis due to colon perforation.
Keywords
Peritonitis, colon perforation, medical treatment, surgery, antibiotics, diverticulitis
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References
2. Nguyễn Quang Huy và các cộng sự. (2024), “Nhận xét kết quả sớm phẫu thuật điều trị viêm phúc mạc do thủng túi thừa đại tràng tại bệnh viện nhân dân 115”, Tạp chí Y học Việt Nam. 540(2).
3. Đặng Hồng Quân, Nguyễn Văn Bi và Việt, Cao Quốc (2025), “Giá trị tiên lượng tử vong của thang điểm viêm phúc mạc Mannheim ở bệnh nhân thủng dạ dày – tá tràng được điều trị phẫu thuật tại bệnh viện đa khoa trung ương cần thơ”, tạp chí Y dược Cần thơ. 83, tr. 149-155.
4. P Raja Shekar, D. Ravi Sundar, Sheelam Ganesh (2025), “Evaluation of Perforation Peritonitis Cases: A Retrospective Observational Study on Etiology, Surgical Management, and Outcomes”, European Journal of Cardiovascular Medicine. 15(5), tr. 905 - 909.
5. Trần Ngọc Dũng và Minh, Nguyễn Xuân (2025), “Kết quả điều trị bệnh lý túi thừa đại tràng có biến chứng tại bệnh viện đại học y hà nội”, Tapj chis nghiên cứu y học. 180(7), tr. 223-231.
6. Tan, Ker-Kan và các cộng sự. (2011), “Predictors of Outcome Following Surgery in Colonic Perforation: An Institution’s Experience Over 6 Years”, Journal of Gastrointestinal Surgery. 15(2), tr. 277-284.
7. MD Rehan Faraz, Thambidurai Govindan, S fasiulla (2025), “Clinical Profile and Surgical Outcomes of Perforative Peritonitis: A Prospective Study from Rural South India”, Journal of Contemporary Clinical Practice. 11(8), tr. 22-30.
8. Alfayina Rodriguez Abreu • Alekcei Evgenevich Klimov , et.al (2026), “A Comparative Analysis of Generalized Peritonitis Secondary to Upper Gastrointestinal Perforation: Surgical Approaches, Antibiotic Management, and Patient Outcomes”, Cureus. 18(1), tr. e102483.