Clinical Outcome of Emergency Laparotomy: Our Experience at tertiary care centre (A case series)
Journal Title: International Journal of Biomedical and Advance Research - Year 2015, Vol 6, Issue 10
Abstract
Introduction: Laparotomy is broadly used for any surgery requiring opening of abdominal wall and exploration of the underlying structures. Elective laparotomy indirectly implies that there is ample time for preoperative assessment and preparation of the patient. On the other hand, an emergency laparotomy is a lifesaving procedure, undertaken mostly in acute cases, without much preparation of the patient. Materials and methods: This retrospective study included cases that underwent laparotomy for acute abdominal conditions between Jan 2013 to Jan 2014.We also studied the morbidity associated with each case and compared the results. Results: Morbidity and mortality after emergency laparotomy is high. This incidence increases in cases with associated co morbidities like COPD, asthma, diabetes mellitus, hypertension, pneumonia, renal failure. Out of 100 cases of emergency exploratory laparotomy performed 56 cases were due to hollow viscus perforation in which duodenal perforation was most common accounting for 28 cases. However, the maximum mortality rate was seen with gastric (26%) followed by ileal (10.5%), duodenal (10.5%), and jejunal and colonic perforations (5.25%). Conclusion: Most common condition for which emergency laparotomy was done was perforated peptic ulcer. The mortality and morbidity after emergency laparotomy is closely related to presence or absence of diabetes mellitus, hypertension, chronic renal impairment, cardiovascular disease (angina), asthma, liver disease, chronic obstructive pulmonary disease and metastatic disease and morbidity and mortality of patients who underwent emergency laparotomy is high when associated with these conditions.
Authors and Affiliations
Vivekanand K. H. , Mohankumar K, Prakash Dave, Vikranth S. N. , Suresh T. N.
Keywords
Related Articles
- EP ID EP355207
- DOI 10.7439/ijbar.v6i10.2578
- Views 97
- Downloads 0
Ulcerprotective activity of ethanolic extract of baccaurea ramiflora and Microcos paniculata on experimental animals
The current study was planned to evaluate the ulcer protective activity of the leaves of Baccaurea ramiflora and Microcos paniculata. Dried and crushed leaves of Baccaurea ramiflora and Microcos paniculata were defatted...
Physical activity level of school children of age 10-13 years
Aim: To assess physical activity level of school children of age 10-13 years. Objectives: To assess and grade physical activity level in children of age 10-13 years using Physical Activity Questionnaire for Children (PA...
Study of vitamin D3 level in patients with diabetes mellitus
Introduction: Glycated hemoglobin (HbA1c) is primarily measured to identify glycemic control in diabetic patients. According to The American Diabetes Association (ADA), and World Health Organization (WHO), HbA1c concentr...
Comparison of clinical performance of I-Gel with LMA-Proseal in elective surgeries under general anesthesia
Aim: To compare insertion characteristics of two different supraglottic devices [I-gel and LMA-Proseal] and to observe any associated complications. Materials and Methods: This prospective, randomized study was conducted...
Role of contaminated water for stillbirths in pregnant womens
Untreated infection may cause stillbirth by several mechanisms, including direct fetal infection, placental damage and severe maternal illness. Many bacteria, viruses, and protozoa have been associated with stillbirth. E...