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Research Paper | General Surgery | India | Volume 12 Issue 3, March 2023 | Rating: 4.9 / 10
A Retrospective Study of Factors Affecting Post Operative Morbidity in the Patients Undergoing Emergency Abdominal Surgery
Dr. Sonal Raikwar | Dr. S. P Mukhiya | Dr. Rajshree Mukhiya
Abstract: Background: The emergency surgery is described as non - elective surgery, which is carried out to prevent a disease that is surgically treatable from having a fatal or morbid health effect. Emergency surgery is one case where a surgeon faces a therapeutic challenge. Since the surgical management of the patient is inevitable, we aim here to understand certain factors that could be contributing to major post operative mortality and morbidities. In a developing nation as the Indian subcontinent where a study like this is conducted on largely poverty struck population, better understanding of these factors can improve multiple aspects of healthcare as better patient counselling, explaining the prognosis, and shortening hospital stay. Methods: A retrospective study was done on 40 patients who underwent emergency exploratory laparotomy in a tertiary care centre, R. D Gardi Medical college and C. R Gardi Hospital, Ujjain from May 2022 to December 2022. Results: There were 75% males and 25% females in the study. The mortality in our study was 7.5%. Morbidity was seen in 65% patients who suffered postoperative complications in which surgical site infections remain the most common complication (58.3%), pulmonary complications were suffered by 23% patients and 11.5% patients suffered sepsis and multi - organ dysfunction syndrome each. Conclusion: Patients with postoperative complications who had undergone emergency abdominal surgery probably are aged people, patients with elevated levels of creatinine & blood glucose and males with reduced levels of serum albumin, smokers and males who had longer procedure duration. Fluid resuscitation and experienced surgeons are important to enhance results.
Keywords: Abdominal Surgery, Emergency, Post - Operative Complications, Morbidity Factor
Edition: Volume 12 Issue 3, March 2023,
Pages: 1545 - 1549