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Bibliographic Details
Main Authors: balmiki, pradeep, kumar, Jitendra kumar
Format: Recurso digital
Language:English
Published: Zenodo 2025
Subjects:
Online Access:https://doi.org/10.5281/zenodo.15547478
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  • <p>Perforation peritonitis represents one of the most common abdominal emergencies in India, often caused by peptic ulcers, typhoid, tuberculosis, or traumatic events \[1]. Surgical intervention is the cornerstone of management, yet the timing of surgery remains a point of clinical debate. Traditional teaching advocates immediate surgery to control contamination; however, recent literature suggests that brief resuscitation to optimize physiological status may improve outcomes \[2,3].</p> <p> </p> <p>In India, where patients often present late and in sepsis or shock, the decision between immediate surgery and delayed surgery following initial stabilization can have significant implications on morbidity and mortality \[4]. This meta-analysis synthesizes Indian clinical studies to compare outcomes between immediate and delayed surgery after resuscitation in patients with perforation peritonitis.</p>