An Analysis of Interventions in Acute Abdomen and it’s Post Operative Complications
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Acute abdomen refers to signs and symptoms of abdominal pain and tenderness, a clinical presentation that often requires emergency surgical therapy. Hence require thorough and expeditious work up to determine need for operative intervention. Aim of the study was to report the incidence of post operative complication in acute abdominal conditions where emergency surgery is done as treatment. In relation to preoperative variables of general condition of patient such as anemia, hypoprotenemia, diabetes, jaundice and critically ill patients, to compare complications with open surgery and laparoscopic surgery and to note post operative complications. Material and methods: In this study total of 250 cases of acute abdomen from September 2015 to January 2017 are observed. Every 10th case of acute abdomen that attends emergency care to general surgery unit of a tertiary care hospital was taken into the study. Preoperative condition of the patient was evaluated and also noted whether open or laparoscopic surgery. Post operative complications were noted. Results: Among total 250 patients, 110 (44%) patients had acute appendicitis, 80(32%) patients had hallow viscus perforation, 35(14%) patients had interstinal obstruction, 20(8%) patients had blunt injury abdomen and 5(2%) patients had penetrating injury abdomen. Sixteen patients (14.50%) with acute appendicitis, 39(48.75%) patients with hallow viscus perforation, 21(60%) patients with interstinal obstruction, 4(20%) patients with blunt injury abdomen and 1(20%) patients with penetrating injury developed postoperative complications. Conclusions: In this study maximum no cases of acute abdomen are seen in 2nd and 3rd decade and maximum number of complication are seen in 7th to 8th decade and in patients with critically illness and patients with hepatocellular disorder. In this study least number of complications are present in patients with normal per operative general condition. Complications rate significantly low in case of laparoscopic surgery than open surgery
Authors and Affiliations
Mutharaju KR
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