H Suresh Clement¹, Y Vinay Kumar Reddy², S Ramchander³ , P Vamshi Bharath4

¹Associate Professor, ³Profesor,⁴Postgraduate Student, Department of General Surgery, Prathima Institute of Medical Sciences,Karimnagar,Telangana,India.

² Second year resident,Department of Urology, Gandhi Medical College, Secunderabad,Telangana.

Address for correspondence: Dr H. Suresh Clement, Associate Professor, Department of General Surgery, Prathima Institute of Medical Sciences, Karimnagar. Telangana, India.

Email: dr.sureshclement@gmail.com

Introduction: The incidence of secondary peritonitis is decreasing in many parts of the world. However, in India, it remains the most common cause of intra abdominal sepsis with unacceptably high mortality.

Aims & objective ::Assessment of prognosis in patients of peritonitis using Mannheim’s Peritonitis Index.

Materials & Methods: A total of 60 cases studied in Prathima Institute of Medical Sciences, Karimnagar as a Prospective observational study with patients who were included in the study were those who had clinical symptoms and signs like pain abdomen, distension, vomiting ,fever, tenderness, guarding , rigidity, absent bowel sounds and obliteration of liver dullness.

Results : Age appears to be a significant prognostic index with mean age of all patients was 37.25yrs, Mean age of survivors 32.17yrs and Mean age of non survivors is 53.16yrs.

Conclusion :Mannheim Peritonitis Index is a specific, simple, reliable and accurate index in assessment of prognosis in patients of peritonitis and it shows significantly high mortality when the score is > 29

Key words :Mannheims peritonitis index, Acute physiological and chronic health evaluation score, Membrane attack complex, Intracellular adhesion molecules,Vascular cell adhesion molecules