Non-traumatic emergency abdominal surgery in nonagenarian patients: a retrospective study

Emergency abdominal surgery carries high morbidity and mortality rates in human medicine; however, there is less evidence characterising the outcome of these surgeries as a single group in dogs. The aim of the study was to characterise the clinical course, associated complications and outcome of dogs undergoing emergency abdominal surgery. A retrospective study was conducted. Dogs undergoing emergency laparotomy were included in the study. Logistic regression analysis was performed to identify variables correlated with death and complications. Eighty-two dogs were included in the study. The most common reason for surgery was a gastrointestinal foreign body. Overall, the 15-day mortality rate was 20.7% (17/82). The median (range) length of hospitalisation was 3 (0.5–15) days. Of the 82 patients, 24 (29.3%) developed major complications and 66 (80.5%) developed minor complications. Perioperative factors significantly associated with death included tachycardia (p < 0.001), hypothermia (p < 0.001), lactate acidosis (p < 0.001), shock index > 1 (p < 0.001), leukopenia (p < 0.001) and thrombocytopenia (p < 0.001) at admission, as well as intraoperative hypotension (p < 0.001) and perioperative use of blood products (p < 0.001). The results of this study suggest that mortality and morbidity rates after emergency abdominal surgery in dogs are high.

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Perioperative Outcome in Dogs Undergoing Emergency Abdominal Surgery: A Retrospective Study on 82 Cases (2018-2020)

10.20944/preprints202107.0607.v1 ◽

2021 ◽

Author(s):

Aida Fages ◽

Carme Soler ◽

Nuria Fernández-Salesa ◽

Giuseppe Conte ◽

Massimiliano Degani ◽

...

Keyword(s):

Retrospective Study ◽

Abdominal Surgery ◽

Clinical Course ◽

Emergency Laparotomy ◽

High Morbidity ◽

Mortality And Morbidity ◽

Intraoperative Hypotension ◽

Lactate Acidosis ◽

Length Of Hospitalization ◽

Emergency Abdominal Surgery

Emergency abdominal surgery carries high morbidity and mortality rates in human medicine; however, there is less evidence characterizing the outcome of these surgeries as a single group in dogs. The aim of the study was to characterize the clinical course, associated complications and outcome of dogs undergoing emergency abdominal surgery. A retrospective study was conducted. Dogs undergoing emergency laparotomy were included in the study. Logistic regression analysis was performed to identify variables correlated with death and complications. Eighty-two dogs were included in the study. The most common reason for surgery was gastrointestinal foreign body. Overall 15-day mortality rate was 20.7% (17/82). Median (range) length of hospitalization was 3 (0.5 - 15) days. Of the 82 patients, 24 (29.3%) developed major complications and 66 (80.5%) minor complications. Perioperative factors significantly associated with death included tachycardia (P &lt; 0.001), hypothermia (P &lt; 0.001), lactate acidosis (P &lt; 0.001), shock index &gt; 1 (P &lt; 0.001), leukopenia (P &lt; 0.001), thrombocytopenia (P &lt; 0.001) at admission; intraoperative hypotension (P &lt; 0.001) and perioperative use of blood products (P &lt; 0.001). The results of this study suggest that mortality and morbidity rates after emergency abdominal surgery in dogs are high.

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Intraoperative Protective Mechanical Ventilation in Patients Requiring Emergency Abdominal Surgery

Case Medical Research ◽

10.31525/ct1-nct03987789 ◽

2019 ◽

Author(s):

Keyword(s):

Mechanical Ventilation ◽

Abdominal Surgery ◽

Protective Mechanical Ventilation ◽

Emergency Abdominal Surgery

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Acute Kidney Injury in Major Abdominal Surgery: Retrospective Study of 501 Patients

Case Medical Research ◽

10.31525/ct1-nct04130347 ◽

2019 ◽

Author(s):

Keyword(s):

Acute Kidney Injury ◽

Retrospective Study ◽

Abdominal Surgery ◽

Kidney Injury ◽

Major Abdominal Surgery

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Perioperative use of serum creatinine and postoperative acute kidney injury: a single-centre, observational retrospective study to explore physicians’ perception and practice

Perioperative Medicine ◽

10.1186/s13741-021-00184-6 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Gianluca Villa ◽

Silvia De Rosa ◽

Caterina Scirè Calabrisotto ◽

Alessandro Nerini ◽

Thomas Saitta ◽

...

Keyword(s):

Acute Kidney Injury ◽

Retrospective Study ◽

High Risk ◽

Abdominal Surgery ◽

Serum Creatinine ◽

Malignant Disease ◽

Kidney Injury ◽

Major Surgery ◽

Single Centre

Abstract Background Postoperative acute kidney injury (PO-AKI) is a leading cause of short- and long-term morbidity and mortality, as well as progression to chronic kidney disease (CKD). The aim of this study was to explore the physicians’ attitude toward the use of perioperative serum creatinine (sCr) for the identification of patients at risk for PO-AKI and long-term CKD. We also evaluated the incidence and risk factors associated with PO-AKI and renal function deterioration in patients undergoing major surgery for malignant disease. Methods Adult oncological patients who underwent major abdominal surgery from November 2016 to February 2017 were considered for this single-centre, observational retrospective study. Routinely available sCr values were used to define AKI in the first three postoperative days. Long-term kidney dysfunction (LT-KDys) was defined as a reduction in the estimated glomerular filtration rate by more than 10 ml/min/m2 at 12 months postoperatively. A questionnaire was administered to 125 physicians caring for the enrolled patients to collect information on local attitudes regarding the use of sCr perioperatively and its relationship with PO-AKI. Results A total of 423 patients were observed. sCr was not available in 59 patients (13.9%); the remaining 364 (86.1%) had at least one sCr value measured to allow for detection of postoperative kidney impairment. Among these, PO-AKI was diagnosed in 8.2% of cases. Of the 334 patients who had a sCr result available at 12-month follow-up, 56 (16.8%) developed LT-KDys. Data on long-term kidney function were not available for 21% of patients. Interestingly, 33 of 423 patients (7.8%) did not have a sCr result available in the immediate postoperative period or long term. All the physicians who participated in the survey (83 out of 125) recognised that postoperative assessment of sCr is required after major oncological abdominal surgery, particularly in those patients at high risk for PO-AKI and LT-KDys. Conclusion PO-AKI after major surgery for malignant disease is common, but clinical practice of measuring sCr is variable. As a result, the exact incidence of PO-AKI and long-term renal prognosis are unclear, including in high-risk patients. Trial registration ClinicalTrials.gov, NCT04341974.

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A rare case of Pseudomonas aeruginosa bacteremia in a newborn with 58 perforations in the small intestine

BMC Pediatrics ◽

10.1186/s12887-020-02466-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yuanyuan Xu ◽

Danqun Jin ◽

Huan Ye ◽

Youfeng Liang

Keyword(s):

Pseudomonas Aeruginosa ◽

Small Intestine ◽

Early Detection ◽

Abdominal Surgery ◽

Rare Case ◽

Venous Blood ◽

Case Presentation ◽

Systemic Infections ◽

Emergency Abdominal Surgery ◽

Timely Treatment

Abstract Background Community-acquired infections of Pseudomonas aeruginosa (P. aeruginosa) occur very rarely. Case presentation P. aeruginos was detected in cultures of venous blood and peritoneal exudate of a newborn with 58 perforations in the small intestine. Intravenous administration of imipenem cilastratin sodium and emergency abdominal surgery were performed. The patient fully recovered and was discharged 17 days after the operation. Conclusions Mild symptoms of systemic infections in newborns may delay the diagnosis. Early detection and timely treatment are the key to improved prognosis.

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