ASSESSMENT OF LAPAROSCOPIC MANAGEMENT OF INTESTINAL PERFORATION

Background: Intestinal perforation is a surgical emergency often, encountered. Usually, coelotomy performed to manage intestinal perforation. It has been the gold standard approach deal with for past decades in conjunction various procedures. Post laparotomy wound related complications have biggest challenge general surgeons till date, so much as adding up morbidity, severe burst abdomen. Laparoscopic management of recent technique.
 Aim: The present study aimed assess efficacy laparoscopic perforation.
 Material and Method: Prospective 75 patient admitted operated National Institute Medical Sciences & Research. (traumatic not traumatic) will be managed through procedure. perforated intestine –
 
 Identified exteriorized or without repair Adequate peritoneal toilet would performed.
 Sub diaphragmatic pelvic spaces drained.
 outcome patients assessed regards to- Total hospital stay, Any associated – local distant. Cause mortality.
 Results: In peritonitis was found 70.6% 58.6% ileal 17.1% jejunal our 52% laparoscopically 33.3% exteriorization 14.6% were converted open surgery. Various cause surgery includes 27.2% multiple perforation,9.2% cardiac disease 63.6v % site identified laparoscopically. Patients had less compared open.
 Conclusion: dealing using minimal access technique feasible turn helpful minimizing most dreaded morbidity i.e. infections which can reduced improving skills thorough lavage. Other factors post-operative ambulation started early post operative day one. Prolonged stay also sent home decreasing risk nosocomial
 Keywords: Laparoscopic, intestinal, perforation,