A PROSPECTIVE STUDY OF COMPLICATIONS IN EMERGENCY LAPAROTOMY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 12
Abstract
Laparotomy or celiotomy is opening of the peritoneal cavity. Since the emergence of surgery, it is one of the common surgical procedure done for elective and emergency gastrointestinal and sometimes for non-gastrointestinal diseases and it is not always free from complications. The common complications associated with laparotomies are Bleeding, Haematoma, Fever, Surgical Site Infection, Wound dehiscence, Burst abdomen, Ileus, DVT, Subdiaphragmatic abscess, Stitch abscess, Enterocutaneous fistula, Hernia, Intestinal Obstruction, Atelectasis. These complications are more common in emergency laparotomy than with elective laparotomies. These complications pose a significant problem and add significantly to the morbidity and mortality associated with the procedure itself. In order to know the pattern of incidence of various complications and to device a protocol for the prevention and the effective management of the post emergency laparotomy complications in a peripheral teaching hospital with limited resources, a prospective study has been formulated including 100 willing patients in the age group of 13 years to 70 without any significant comorbid medical illnesses with acute abdomen who underwent emergency laparotomy or various causes like perforation peritonitis, blunt/penetrating abdominal injury, intestinal obstruction, etc. Laparotomy procedure was standardized for all patients like midline vertical incision was used, same suture materials were used for all patients and abdominal drain was used for all patients. The complications were evaluated and managed appropriately. The data collected were analysed statistically.
Authors and Affiliations
Raja Graham. G, Vijayabhasker
Keywords
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- EP ID EP138814
- DOI 10.14260/jemds/2016/118
- Views 92
- Downloads 0
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