Non-Traumatic Bowel Perforation: Clinical Profile, Surgical Interventions, and Postoperative Outcomes in a Tertiary Care Centre

Among the myriad surgical emergencies encountered by surgeons, hollow viscus perforation remains one of the most prevalent and formidable causes. Despite significant advancements in perioperative management, intensive care protocols, and broad-spectrum antimicrobial therapy, perforation peritonitis continues to be a major contributor to both morbidity and mortality in surgical patients. A prospective observational study was conducted in the Department of General Surgery, Jawaharlal Nehru Medical College and Hospital (JNMCH), Aligarh Muslim University (AMU), Aligarh, between August 2022 and July 2024 to analyse the clinical profile, management protocols, and surgical outcomes of patients presenting with non-traumatic gastrointestinal perforations. A total of 358 patients, aged 12 years and above, who presented with acute abdomen due to non-traumatic gastrointestinal perforation and subsequently underwent emergency exploratory laparotomy, were included in the study.