Introduction:

Secondary peritonitis is caused by contamination of the peritoneal cavity. It continues to be a serious disease with high morbidity and mortality.

Objective: To determine morbidity and mortality due to secondary peritonitis in the Surgery Department of Comandante Pinares General Teaching Hospital.

Method:

A descriptive, prospective and observational study was carried out with patients admitted to the general surgery service with secondary peritonitis between October 2015 and March 2018. From a population of 40 patients, a sample of 36 patients who met the inclusion criteria was chosen. Descriptive statistical methods and calculations with percentage values were used.

Results:

The highest incidence corresponds to the male sex 19 (52.8%), with a predominance of the group between 50 and 69 years old (38.9%); smoking is the most frequent comorbidity, accounting for 52.8% of patients; the most represented complications were the perforation syndrome, which caused 22.2% of the peritonitis, followed by intestinal occlusion (16.7%), paralytic ileus (25%) and the electrolyte and acid-base imbalance (19.4 %); 52.8% of patients underwent laparotomy with large-scale lavage of the abdominal cavity, the rest received scheduled laparotomy (33.3%) or on demand (13.9%); 77.8% of patients were discharged alive, while 22.2% (8 patients) died.

Conclusions:

Morbidity and mortality in patients with secondary peritonitis continues to be a health problem that requires timely diagnosis and intervention.

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