ANÁLISE DESCRITIVA DAS INTERNAÇÕES POR ASMA DE PACIENTES PEDIÁTRICOS NO ESTADO DO TOCANTINS DE 2016 A 2021.

2021 ◽  
Vol 8 (3) ◽  
pp. 94-99
Author(s):  
Gabriela Costa Jácome ◽  
Luca Bontempo ◽  
Evandro Leite Bitencourt ◽  
Andrea Silva do Amaral
Keyword(s):  
Hospital Admission ◽  
Hospital Stay ◽  
Pediatric Patients ◽  
Hospital Admissions ◽  
Transition Period ◽  
Admission Rate ◽  
The State ◽  
Average Hospital Stay ◽  
Old Patients ◽  
Average Hospital

OBJETIVO: A asma é uma doença crônica que possui alta incidência na população infantil e suas exacerbações estão associadas ao aumento nas taxas de internação, piora da qualidade de vida e aumento dos custos. Dessa forma, o objetivo do estudo é descrever o perfil epidemiológico das internações por asma em pacientes pediátricos, no estado do Tocantins, de janeiro de 2016 a maio de 2021. MÉTODO: Consiste em estudo epidemiológico transversal, retrospectivo temporal, descritivo das internações por asma em pacientes pediátricos por meio de coleta de dados disponíveis no Departamento de Informação e Informática do SUS (DATASUS) e Instituto Brasileiro de Geografia e Estatística (IBGE). Verificou-se a incidência das internações segundo mês e ano do atendimento, faixa etária (0-4, 5-9 e 10-14 anos), sexo, média de permanência das hospitalizações e valores médio e total do custo das internações. RESULTADOS: Foi verificado um total de 1.150 internações em menores de 14 anos, correspondendo a 64,83% das hospitalizações por asma no estado. A maior e menor taxa de internação foram em 2017 (69,60 internações/100.000 habitantes) e 2020 (28,39 internações/100.000 habitantes). A maior parte ocorreu em pacientes com até 4 anos (62,87%) e do sexo masculino (61,30%). 60,76% das internações foram no período de chuvas. A média de permanência hospitalar foi de 2,8 dias e valor total gastos foi de R$585.192,71, sendo R$508,43 por internação. CONCLUSÃO: A incidência das internações por asma foi maior em meninos e em lactentes e pré-escolares, grupos que apresentaram maior tempo de permanência hospitalar. Ademais, as internações foram mais frequentes nos meses chuvosos e na transição para a seca. A diminuição observada nos anos de 2020 e 2021 pode ter relação com a pandemia pelo COVID-19, contudo, são necessários mais estudos para o melhor entendimento dessa associação.  Palavras-chave: Asma; Hospitalização; Criança Hospitalizada; Epidemiologia descritiva.  ABSTRACT OBJECTIVES: Asthma is a chronic disease that has a high incidence in the child population and its exacerbation is associated with hospital admission rates growth, life quality worsening and cost increase. Thus, the objective of this paper is to describe the epidemiological profile of asthma related hospital admission in pediatric patients, located in the state of Tocantins, from january 2016 through may 2021. METHOD: It consists in a transversal epidemiological study, temporal retrospective and descriptive of the hospital admissions caused by asthma in pediatric patients through a data collection, having the Department of Information and Informatics of SUS (DATASUS) and the Brazilian Institute of Geography and Statistics (IBGE) as the sources. We verified the rate of admissions by month and year, age group (0-4, 5-9 and 10-14 years old), sex, average hospital stay and average and total of cost admissions. RESULTS: A total of 1.150 admissions were checked in the under 14 years old group, corresponding to 64,83% of admissions by asthma in the state. The highest and lowest rate of admissions were in 2017 (69,60 admissions/100.000 inhabitants) and 2020 (28,39% admissions/100.00 inhabitants). Most of it happened to 4 years old patients or younger (62,87%) and males (61,30%). 60,76% of admissions took place in the rainy season. The average hospital stay was 2,8 days and the total cost was R$585.192,71, each stay costing R$508,43. CONCLUSION: The admission rate by asthma was higher for boys and infants and pre-school children, and these groups that were in the hospital for a longer period of time. Besides, the admissions were frequent during the rainy months and in the transition period between rainy and dryer seasons. The decrease in admissions rate noticed in 2020 and 2021 might be related to the COVID-19 pandemic, even though more research is necessary to understand this correlation. Key-words: Asthma; Hospitalization; Child, Hospitalized; Epidemiology, Descriptive.

Perioperative outcomes and complications associated with allogeneic duraplasty for the management of Chiari malformations Type I in 48 pediatric patients

2012 ◽  
Vol 10 (2) ◽  
pp. 142-149 ◽  
Author(s):  
Paul Foreman ◽  
Sam Safavi-Abbasi ◽  
Melanie C. Talley ◽  
Lindsay Boeckman ◽  
Timothy B. Mapstone
Keyword(s):  
Hospital Stay ◽  
Posterior Fossa ◽  
Pediatric Patients ◽  
Perioperative Outcomes ◽  
Posterior Fossa Decompression ◽  
Type I ◽  
Average Hospital Stay ◽  
Chiari Malformation Type I ◽  
Average Hospital ◽  
Early Improvement

Object The authors debate the optimal management for Chiari malformation Type I (CM-I) while sharing their experience with posterior fossa decompression and duraplasty (PFDD). Methods The charts of 48 consecutive pediatric patients surgically treated for CM-I were retrospectively reviewed. Results Patients ranged in age from 2 to 17 years with an average age of 9.8 years. The most common presentations were headache, affecting 34 patients (71%), and pain (neck, back, or extremities), affecting 21 patients (44%). Twenty-seven patients (56%) had a syrinx. All 48 patients underwent PFDD utilizing acellular tissue matrix. The average hospital stay overall was 3.56 days, whereas the average stay for patients with (29 [60%] of 48) or without (19 [40%] of 48) scoliosis and/or syringomyelia was 3.72 and 3.32 days, respectively. The odds of a patient having a hospital stay of 4 or more days was nearly 3 times greater in patients with scoliosis and/or syringomyelia as compared with patients without either condition (OR 2.73, 95% CI 0.74–10.11, p = 0.1330). The average hospital stay for patients 0–8 years of age was 3.29 days; and for those 9–17 years of age, 3.78 days. The odds of a patient having a hospital stay of 4 or more days was nearly 4 times greater in 9- to 17-year-olds as compared with 0- to 8-year-olds (OR 3.73, 95% CI 1.03–13.52, p = 0.0455). Forty patients (89%) experienced early improvement in their signs and symptoms following PFDD. There were 2 revision PFDDs (4%). Conclusions Posterior fossa decompression and duraplasty is a safe and effective surgical option in the management of pediatric CM-I.

Hospital admissions and direct costs: A comparative study between paliperidone palmitate and oral antipsychotics

2016 ◽  
Vol 33 (S1) ◽  
pp. s229-s229
Author(s):  
A. Soler Iborte ◽  
S. Galiano Rus ◽  
J.A. Ruíz Sánchez
Keyword(s):  
Hospital Stay ◽  
Hospital Admissions ◽  
Average Length ◽  
Direct Costs ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
Number Of Patients ◽  
Icd 10 ◽  
Schizophrenic Patients ◽  
Competing Interest

IntroductionThe total costs of schizophrenia increased to 2576 million Euros in 2013 in Spain, or 2.7% of the annual cost of health services. The hospitalizations, along with other intermediate resources, such as Day Hospital, etc., significantly contribute to the increase of economic burden. In Spain, the average hospital stay of schizophrenic patients is 18.24 days, totalling to an average cost of 6,753 Euros/patient (370.23 Euros/patient/day).Material and methodsThe sample selected included patients from both sexes, aged between 18 and 65 years old, with diagnostic criteria of schizophrenia (according to DSM-IV and ICD-10), admitted in the Mental Health Hospital Unit (MHHU), Úbeda between 2012 and 2013, with registered visits of at least 2 outpatient visits or 1 hospitalization related to the schizophrenia diagnosis (n = 48).ResultsAfter the start of treatment with the injectable antipsychotic drug of prolonged duration, the number of patients that required hospitalization for any psychiatric motive went from 24 patients (49.7%) to 11 patients (22.4%; P < 0.001). The patients who started treatment with PAP during hospitalization had an average stay of 15.7 days, as compared to 18.24 days of average hospital stay due to schizophrenia in Spain. The direct costs of hospitalization stays due to psychiatric reasons decreased from 162,071.88 Euros to 74,282.95 Euros (P < 0.001).ConclusionsThis observational study shows us that the treatment with PAP reduced the average length of the hospital stay, and resulted in a decreased percentage of re-admissions as compared to oral treatments for schizophrenia. These data led to savings of more than 50% of the direct costs of hospitalization.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Hypomethylating agents as first-line therapy in acute myeloid leukemia (AML).

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 7084-7084
Author(s):  
Samuel D Bailey ◽  
Zartash Gul ◽  
Stacey A. Slone ◽  
Emily Marie Van Meter ◽  
Amber Lawson ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Hospital Admissions ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Median Number ◽  
Cancer Center ◽  
Hypomethylating Agents ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
First Line Therapy

7084 Background: Hypomethylating agents are used in older AML patients (pts) who are not considered candidates for standard induction therapy. However, data regarding their efficacy remains unclear. Methods: We retrospectively evaluated a cohort of 24 consecutive AML pts who were placed on hypomethylation therapy at diagnosis between October 2010 and June 2012 at Markey Cancer Center. Results: Baseline characteristics of the patients are described in table 1. Response rate (CR+PR) was 45.8%. Median number of infections were 1 (8 pts), 2 (5 pts), 3 (4 pts).Median hospital admissions required were 1 (10 pts), 2 (4 pts), 3 (5 pts), 4 or greater (2 pts). Average length of hospital stay was 10.3 days (0-37 days). Median units of packed red cell and platelet transfusions were 10 and 11 units (Range=0-64 and 0-78) respectively. After a median follow up of 145.5 days, 13 pts had died. Cause of death was AML (6 pts), infection and end organ failure (7pts).Median overall survival (OS) was 9.7 months (95%CI: 3.2-16.5 months). On multivariate analysis, blast count less than 30% was borderline significantly associated with better OS (P=0.05). However after addition of average hospital stay in the model only age (HR=1.3, CI=1.06- 1.67), gender (HR=11.5, CI=1.2, 110.5), and average hospital stay were significantly associated with OS (HR=1.2, CI = 1.04- 1.32). Conclusions: In this cohort of pts the median OS was 9.7 months. Older pts and those with longer average hospital stay had a higher mortality. Better selection of pts in a larger cohort who are likely to gain more benefit from these agents may impact outcomes. [Table: see text]

scholarly journals Insuficiência renal aguda no Nordeste brasileiro: morbimortalidade e custos públicos

2019 ◽  
Vol 13 ◽  
Author(s):  
Edison Vitório de Souza Júnior ◽  
Diego Pires Cruz ◽  
Gabriel Aguiar Nunes ◽  
Giovanna Maria Nascimento Caricchio ◽  
Sávio Luiz Ferreira Moreira ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Kidney Diseases ◽  
Northeastern Brazil ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
Average Value ◽  
Hospital Morbidity ◽  
Public Costs ◽  
Care Costs ◽  
Sistemas De Informacion

Objetivo: descrever a morbimortalidade hospitalar e custos públicos relacionados à insuficiência renal aguda no Nordeste brasileiro. Método: trata-se de estudo quantitativo, ecológico e descritivo realizado com dados do Sistema de Informações Hospitalares. Coletaram-se as variáveis: internações; óbitos; mortalidade; valores dos serviços hospitalares; valores médios gastos com as internações e média de permanência hospitalar. Analisaram-se os dados com estatística descritiva, apresentando-os em tabelas elaboradas pelo software Excel. Resultados: registraram-se 21.100 internações, 4.460 óbitos e mortalidade de 21,1%. Destacaram-se a Bahia nas internações (28,6%) e óbitos (28,7%) e Sergipe na letalidade (35,6%). Gerou-se custo público superior a R$ 37,6 milhões e a Bahia responsabilizou-se por 32,1%. Revelou-se valor médio de R$ 1.969,97 para cada internação e a média de permanência hospitalar foi de 10,2 dias. Conclusão: conclui-se que as variáveis epidemiológicas apresentaram maior prevalência nos Estados da Bahia e Sergipe. Evidenciou-se, além disso, comportamento crescente das internações, implicando o incremento dos custos públicos. Descritores: Saúde Pública; Nefrologia; Nefropatias; Epidemiologia; Custos de Cuidados de Saúde; Sistemas de Informação. Abstract Objective: to describe hospital morbidity and mortality and public costs related to acute renal failure in northeastern Brazil. Method: this is a quantitative, ecological and descriptive study conducted with data from the Hospital Information System. The following variables were collected: hospitalizations; deaths; mortality; values of hospital services; average values spent on hospitalizations and average hospital stay. Data was analyzed with descriptive statistics and presented in tables prepared by Excel software. Results: 21,100 hospitalizations, 4,460 deaths and 21.1% mortality were registered. Bahia stood out in hospitalizations (28.6%) and deaths (28.7%) and Sergipe in lethality (35.6%). It generated a public cost over R $ 37.6 million and Bahia accounted for 32.1%. An average value of R $ 1,969.97 was revealed for each hospitalization and the average hospital stay was 10.2 days. Conclusion: it is concluded that the epidemiological variables were more prevalent in the states of Bahia and Sergipe. In addition, the increasing behavior of hospitalizations was evidenced, implying an increase in public costs. Descriptors:  Public Health; Nephrology; Kidney Diseases; Epidemiology; Health Care Costs; Information Systems.Resumen Objetivo: describir la morbimortalidad hospitalaria y los costos públicos relacionados con la Insuficiencia Renal Aguda en el Noreste de Brasil. Método: se trata de un estudio cuantitativo, ecológico y descriptivo realizado con datos del Sistema de Informaciones Hospitalarias. Se recogieron las siguientes variables: hospitalizaciones; muertes, mortalidad, valores de los servicios hospitalarios; promedio de valores gastados en admisiones y promedio de permanencia hospitalaria. Los datos se analizaron con estadísticas descriptivas y se presentaron en tablas elaboradas por el software Excel. Resultados: se registraron 21.100 admisiones, 4.460 muertes y 21.1% de mortalidad. Bahía se destacó en hospitalizaciones (28.6%) y muertes (28.7%), y Sergipe en letalidad (35.6%). Se generó un costo público de más de R$ 37,6 millones y Bahía fue responsable del 32.1%. El valor medio de R $ 1,969.97 se reveló para cada hospitalización y la permanencia hospitalaria con promedio de 10,2 días. Conclusión: se concluye que las variables epidemiológicas presentaron mayor prevalencia en los Estados de Bahía y Sergipe. Además, hubo evidencia de un mayor comportamiento de hospitalización, lo que implica un aumento en los costos públicos. Descriptores: Salud Pública; Nefrología; Enfermedades Renales; Epidemiología; Costos de la Atención en Salud; Sistemas de Información.

scholarly journals Biphasic pattern in the effect of severe measles infection; the difference between additive and multiplicative scale

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nhat Thanh Hoang Le ◽  
Nhan Thi Ho ◽  
Bryan Grenfell ◽  
Stephen Baker ◽  
Ronald B. Geskus
Keyword(s):  
Infectious Diseases ◽  
Hospital Admission ◽  
Measles Virus ◽  
Hospital Admissions ◽  
Admission Rate ◽  
Second Phase ◽  
Before And After ◽  
The Difference ◽  
Two Phases ◽  
Additive Scale

Abstract Background Infection with measles virus (MeV) causes immunosuppression and increased susceptibility to other infectious diseases. Only few studies reported a duration of immunosuppression, with varying results. We investigated the effect of immunosuppression on the incidence of hospital admissions for infectious diseases in Vietnamese children. Methods We used retrospective data (2005 to 2015; N = 4419) from the two pediatric hospitals in Ho Chi Minh City, Vietnam. We compared the age-specific incidence of hospital admission for infectious diseases before and after hospitalization for measles. We fitted a Poisson regression model that included gender, current age, and time since measles to obtain a multiplicative effect measure. Estimates were transformed to the additive scale. Results We observed two phases in the incidence of hospital admission after measles. The first phase started with a fourfold increased rate of admissions during the first month after measles, dropping to a level quite comparable to children of the same age before measles. In the second phase, lasting until at least 6 years after measles, the admission rate decreased further, with values up to 20 times lower than in children of the same age before measles. However, on the additive scale the effect size in the second phase was much smaller than in the first phase. Conclusion The first phase highlights the public health benefits of measles vaccination by preventing measles and immune amnesia. The beneficial second phase is interesting, but its strength strongly depends on the scale. It suggests a complicated interaction between MeV infection and the host immunity.

REDUCING THE LITERAL AND HUMAN COST OF CHILD ABUSE: IMPACT OF A NEW HOSPITAL MANAGEMENT SYSTEM

PEDIATRICS ◽  
1973 ◽  
Vol 51 (5) ◽  
pp. 840-848
Author(s):  
Eli H. Newberger ◽  
John J. Hagenbuch ◽  
Nancy B. Ebeling ◽  
Elizabeth Pivchik Colligan ◽  
Jane S. Sheehan ◽  
...  
Keyword(s):  
Child Abuse ◽  
Hospital Stay ◽  
Hospital Cost ◽  
Hospital Costs ◽  
Average Hospital Stay ◽  
Total Hospital ◽  
Average Hospital ◽  
Consultation Group ◽  
Human Cost ◽  
Hospital Management System

Social service personnel from one public and two voluntary agencies were integrated into a consultation group in an academic pediatric hospital, leading to a reduction in the actual cost of medical services and the risk of reinjury subsequent to the diagnosis of child abuse. In the 1969-1970 hospital year, 62 cases of child abuse were seen, of which 39 were hospitalized. The average hospital stay was 29 days; the average hospital cost $3,000. Total hospital costs for the 39 cases were $123,000, of which bed costs made up $95,000. There were at least three subsequent incidents of child abuse in these 39 cases, and there was one subsequent death; the reinjury rate was 10% for hospitalized cases. In September 1970 the Trauma X Group, an interdisciplinary, interagency consultation unit based in the hospital, was formed. With formal consultation and continued surveillance after discharge by the Trauma X Group, the following data were obtained from the 1970-1971 hospital year. Of 86 cases, 60 were hospitalized. The average hospital stay was 17 days; the average hospital cost $2,500. Total hospital costs for the 60 cases was $150,000, of which bed costs made up $101,000. There was one incident of reinjury and no deaths subsequent to diagnosis in these 60 cases; the reinjury rate was 1.7%. The risk of reinjury calculated from a modified life table was reduced from 8% in the year previous to the formation of the group to 7% and 2%, respectively, in the subsequent year and six-month periods, supporting the dollar-cost impression of effectiveness. Foster placement, furthermore, was infrequent and does not explain the differential impact of the Trauma X Group in the intervals under study.

Analysis of Hospital Admissions for Psychiatric Care in Portugal: Results from the SMAILE Study

2017 ◽  
Vol 41 (S1) ◽  
pp. S250-S250
Author(s):  
M. Silva ◽  
A. Antunes ◽  
A. Loureiro ◽  
P. Santana ◽  
J. Caldas-de-Almeida ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Hospital Admission ◽  
Hospital Stay ◽  
Psychiatric Care ◽  
Hospital Admissions ◽  
Common Mental Disorders ◽  
Length Of Hospital Stay ◽  
Compulsory Admission ◽  
Clinical Factors ◽  
Psychiatric Admissions

IntroductionEvidence shows that the prevalence and severity of mental disorders and the need for psychiatric admission is influenced by socio-demographic and contextual factors.ObjectivesTo characterize the severity of hospital admissions for psychiatric care due to common mental disorders and psychosis in Portugal.AimsThis retrospective study analyses all acute psychiatric admissions for common mental disorders and psychosis in four Portuguese departments of psychiatry in the metropolitan areas of Lisbon and Porto, and investigates the association of their severity with socio-demographic and clinical factors.MethodsSocio-demographic and clinical variables were obtained from the clinical charts of psychiatric admissions in 2002, 2007 and 2012 (n = 2621). The number of hospital admissions per year (>1) and the length of hospital stay (31 days) were defined as measures of hospital admission severity. Logistic regression analysis was used to assess which socio-demographic and clinical factors were associated with both hospital admission severity outcomes.ResultsResults showed different predictors for each outcome. Being widowed, low level of education, being retired, having psychiatric co-morbidity, and a compulsory admission were statistically associated (P < 0.05) with a higher number of hospital admissions. Being single or widowed, being retired, a diagnosis of psychosis, and a compulsory admission were associated with higher length of hospital stay, while having suicidal ideation was associated with a lower length of hospital stay.ConclusionsSocio-demographic and clinical characteristics of the patients are determinants of hospital admissions for psychiatric care and of their severity.Funding Fundação para a Ciência e Tecnologia (FCT), Portugal.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Clinical course and surgical treatment of paraurethral cysts in women

2020 ◽  
Vol 9 (4) ◽  
pp. 5-10
Author(s):  
Margarita N. Slesarevskaya ◽  
Salman Kh. Al-Shukri ◽  
Arkadiy V. Sokolov ◽  
Igor V. Kuzmin
Keyword(s):  
Surgical Treatment ◽  
Laser Ablation ◽  
Hospital Stay ◽  
Diode Laser ◽  
Postoperative Period ◽  
Genital Tract ◽  
Clinical Course ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
Laser Apparatus

The results of surgical treatment of 59 women (average age 31.9 1.3 years) who underwent laser ablation of paraurethral cysts using the Lakhta-Milon laser apparatus (Russia) (diode laser with a wavelength of 0.97 m) are presented. The postoperative period in all patients proceeded without serious complications. The average hospital stay was 1.7 1.5 days. 4 weeks after surgery, all 59 patients noted improvement such as lack of dysuria, only 10 (16.9%) had minor discharge from the genital tract. 6 weeks after surgery all 59 operated patients had wound epithelization. Conclusion: The treatment of paraurethral cysts should be surgical and as radical as possible. The operation of choice is laser ablation of paraurethral formations.

scholarly journals Clinical justification for preventive surgeries for abdominal wall hernias and cholelithiasis in cardiovascular surgical patients

2018 ◽  
Vol 99 (2) ◽  
pp. 345-349
Author(s):  
S B Sangadzhiev ◽  
L E Slavin ◽  
R T Zimagulov ◽  
R R Yakhin ◽  
M S Sangadzhiev ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Abdominal Wall ◽  
Heart Valve ◽  
Surgical Pathology ◽  
Lower Probability ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
Surgical Department ◽  
Diagnostic Center

Aim. Clinical justification for the necessity of sanitation surgeries for cholelithiasis and abdominal wall hernias in patients intended for heart valve surgery. Methods. The study is based on the analysis of operative treatment results of 54 patients admitted to surgical department of Interregional clinical diagnostic center (Kazan) in 2007-2017 with cholelithiasis and abdominal wall hernias, who underwent laparoscopic cholecystectomy or herniotomy before or after an open heart surgery in cardiac surgical department No. 2 of the hospital. All patients were divided into two clinical groups. Group 1 consisted of 36 patients with a history of prosthetic heart valve, taking long-term warfarin. The comparison group included 18 patients, who at the first stage before cardiac surgery underwent sanitation surgeries for cholelithiasis and/or abdominal wall hernias. As part of the research, statistical analysis of intergroup differences was performed using non-parametric Mann-Whitney U-tests. Intergroup differences were determined by gender, age and type of cardiac and general surgical pathology. Results. The analysis of the study groups showed that the average hospital stay among patients with long-term use of indirect anticoagulants was 15±1 day and varied from 12 to 19 days. The results indicate more than two-fold increase of an average hospital stay compared to patients, who underwent the same surgeries before cardiac interventions (р <0.05). Conclusion. Before performing cardiac valve replacement with planned life-term or long-term use of anticoagulants with concomitant general surgical pathology (cholelithiasis, abdominal wall hernias with a tendency to strangulate), at the first stage, it is reasonable to perform so called sanitation surgeries aimed at eliminating abdominal pathology; such approach significantly decreases hospital stay of patients, and potentially contributes to lower probability of hemorrhagic complication incidences during the surgery and in the early post-operative period.

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