Comparative study of postoperative complications in elective versus emergency laparotomy at JSS hospital

Background: The incidences of post-operative complications are higher after laparotomy particularly in emergency. This study was aimed to evaluate and compare postoperative complications after emergency versus elective laparotomy performed at Bundelkhand Medical College, Sagar.Methods: This comparative study was carried out at Department of General Surgery in Bundelkhand Medical College, Sagar, Madhya Pradesh during period of January 2015 to February 2016. All the patients who underwent laparotomy (elective or emergency) were included in the study. Demographic data about patients was collected and noted in pro forma. Patients were followed in postoperative period and any complication developed recorded. Complications compared according to nature of laparotomy whether elective or emergency.Results: A total of 350 patients underwent emergency laparotomy and 50 patients underwent elective laparotomy. 128 (36.57%) patients developed complications following emergency laparotomy while 11 (22%) patients developed complication after elective laparotomy. Postoperative complications following emergency laparotomy included pyrexia (18.2%) followed by nausea and vomiting (12%), wound infection (11.4%), respiratory tract infection (6.85%), urinary tract infection (2.28%), gastrointestinal complications (3.71%), toxemia and septicaemia (8%). After elective laparotomy 20% patients showed postoperative fever, 10% patients suffered from postoperative nausea and vomiting and wound infection was noted in 4% patients.Conclusions: In comparison to elective laparotomy postoperative complications are more common in emergency laparotomy.

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A COMPARATIVE STUDY OF POSTOPERATIVE COMPLICATIONS IN EMERGENCY VERSUS ELECTIVE LAPAROTOMY

10.36106/ijsr/0723639 ◽

2020 ◽

pp. 1-3

Author(s):

Binit Prasad ◽

Mukesh Kumar ◽

Debarshi Jana

Keyword(s):

Postoperative Complications ◽

Tract Infection ◽

Comparative Study ◽

Wound Infection ◽

Demographic Data ◽

Postoperative Nausea And Vomiting ◽

Nausea And Vomiting ◽

Emergency Laparotomy ◽

Postoperative Fever ◽

Gastrointestinal Complications

Background: The incidences of post-operative complications are higher after laparotomy particularly in emergency.This study was aimed to evaluate and compare postoperative complications after emergency versus elective laparotomy performed at IGIMS, Patna. Methods: This comparative study was carried out at Department of General Surgery in Indira Gandhi Institute of Medical Sciences, Patna, Bihar during period of January 2019 to December 2019 All the patients who underwent laparotomy (elective or emergency) were included in the study. Demographic data about patients was collected and noted in pro forma. Patients were followed in postoperative period and any complication developed recorded. Complications compared according to nature of laparotomy whether elective or emergency. Results: A total of 350 patients underwent emergency laparotomy and 50 patients underwent elective laparotomy.128 (36.57%) patients developed complications following emergency laparotomy while 11 (22%) patients developed complication after elective laparotomy. Postoperative complications following emergency laparotomy included pyrexia (18.2%) followed by nausea and vomiting (12%), wound infection (11.4%), respiratory tract infection (6.85%), urinary tract infection (2.28%), gastrointestinal complications (3.71%), toxemia and septicaemia (8%). After elective laparotomy 20% patients showed postoperative fever, 10% patients suffered from postoperative nausea and vomiting and wound infection was noted in 4% patients. Conclusions: In comparison to elective laparotomy postoperative complications are more common in emergencylaparotomy.

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PREDICTIVE FACTORS IN THE CHOICE OF SURGICAL TREATMENT FOR COLORECTAL CANCER WITH LAPAROSCOPIC OR "OPEN" ACCESS

Problems in oncology ◽

10.37469/0507-3758-2017-63-3-470-474 ◽

2017 ◽

Vol 63 (3) ◽

pp. 470-474

Author(s):

Rustem Topuzov ◽

Georgiy Manikhas ◽

Eskender Topuzov ◽

Mikhail Khanevich ◽

Magomed Abdulaev ◽

...

Keyword(s):

Colorectal Cancer ◽

Surgical Treatment ◽

Postoperative Complications ◽

Open Access ◽

Comparative Study ◽

Retrospective Analysis ◽

Predictive Factors

There are presented results of surgical treatment of 347 patients with colorectal cancer. Based on the retrospective analysis a comparative study of results of surgical treatment for colorectal cancer using laparoscopic technologies and “open” access was carried out. Predictive factors that correlate with the risk of postoperative complications with laparoscopic and “open” access at the surgical stage of treatment for colorectal cancer were determined.

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Comparative Study between Fistulectomy and Seton in Fistula in ANO Regarding Healing and Postoperative Complications

International Journal of Contemporary Medical Research [IJCMR] ◽

10.21276/ijcmr.2018.5.5.26 ◽

2018 ◽

Vol 5 (5) ◽

Author(s):

D. Abhivardhan ◽

CH.V.V. Sivakumar ◽

K. Ramarao ◽

K. Balaji ◽

M. Sujatha ◽

...

Keyword(s):

Postoperative Complications ◽

Comparative Study ◽

Fistula In Ano

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A comparative study of single layer extra mucosal versus conventional double layer anastomosis of intestines in elective and emergency laparotomy at a tertiary health center

Medpusle International Journal of Surgery ◽

10.26611/1061712 ◽

2020 ◽

Vol 17 (1) ◽

pp. 05-08

Author(s):

C S Umaakanth Soundar ◽

Keyword(s):

Comparative Study ◽

Health Center ◽

Double Layer ◽

Single Layer ◽

Emergency Laparotomy

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Comparative Study of Postoperative Complications Associated With Modified Indiana Pouch in Elderly Versus Younger Patients

The Journal of Urology ◽

10.1016/s0022-5347(01)66849-6 ◽

1995 ◽

Vol 154 (4) ◽

pp. 1325-1328 ◽

Cited By ~ 16

Author(s):

Joseph D. Navon ◽

Alan K. Wong ◽

Alan C. Weinberg ◽

Thomas E. Ahlering

Keyword(s):

Postoperative Complications ◽

Comparative Study ◽

Younger Patients ◽

Indiana Pouch

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Ultrasonic Shear Device versus Monopolar Electric Cautery in Conservative Breast Surgery Following Neoadjuvant Chemotherapy: A Comparative Study

10.21203/rs.3.rs-409844/v1 ◽

2021 ◽

Author(s):

Islam Khaled ◽

Ihab Saad ◽

Hany Soliman ◽

Mohammed Faisal

Keyword(s):

Postoperative Complications ◽

Focus Group ◽

Neoadjuvant Chemotherapy ◽

Comparative Study ◽

Lymph Node Biopsy ◽

Drain Removal ◽

Harmonic Focus ◽

Lower Volume ◽

Monopolar Electrocautery ◽

Ultrasonic Shear

Abstract Background: Surgical devices are commonly used during breast-conservative surgery (BCS) to provide better hemostasis. Ultrasonic shear has recently gained momentum as an effective tool for intraoperative bleeding reduction. This comparative study was designed to determine the efficacy of Harmonic focus in reducing postoperative complications of BCS following neoadjuvant chemotherapy (CTH), in comparison to the conventional method using monopolar diathermy.Methods: We conducted a prospective, non-randomized, comparative, study on patients scheduled to undergo BCS with axillary dissection or sentinel lymph node biopsy after neoadjuvant CTH. Patients were recruited consecutively throughout the study period and were divided in an equal manner to undergo either monopolar electrocautery or Harmonic focus®.Results: Patients in the Harmonic Focus group had significantly shorter operative time than the monopolar electrocautery group (101.32 ± 27.3 versus 139.3 ± 31.9 minutes, respectively; p <0.001). Besides, the blood loss was significantly lower in the Harmonic Focus group (117.14 ± 35.6 versus 187 ± 49.8mL, respectively; p <0.001). Postoperatively, patients in the Harmonic Focus group had a significantly lower volume of chest wall drain (p <0.001) and shorter rime till drain removal (p <0.001). Likewise, patients in the Harmonic Focus group had a significantly lower volume of axillary drain and shorter rime till drain removal than monopolar electrocautery (p <0.001). The incidence of postoperative complications was comparable between both groups (p =0.128). Conclusions: In conclusion, the current study confirms the superiority of Harmonic Focus, compared to monopolar electrocautery, amongst patients receiving neoadjuvant CTH before BCS.

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Intraoperative and Postoperative Outcomes of Harmonic Focus Versus Monopolar Electrocautery after Neoadjuvant Chemotherapy in Breast Conservative Surgery: A Comparative Study

10.21203/rs.3.rs-820715/v1 ◽

2021 ◽

Author(s):

Islam Khaled ◽

Ihab Saad ◽

Hany Soliman ◽

Mohammed Faisal

Keyword(s):

Postoperative Complications ◽

Focus Group ◽

Neoadjuvant Chemotherapy ◽

Comparative Study ◽

Conservative Surgery ◽

Breast Conservative Surgery ◽

Drain Removal ◽

Harmonic Focus ◽

Lower Volume ◽

Monopolar Electrocautery

Abstract Background: Surgical devices are commonly used during breast conservative surgery (BCS) to provide better hemostasis. The Harmonic scalpel has recently gained momentum as an effective tool for intraoperative bleeding reduction. This comparative study was designed to determine the efficacy of Harmonic Focus in reducing postoperative complications of BCS after neoadjuvant chemotherapy (NCTH) compared to the conventional method using monopolar diathermy.Results: A prospective, nonrandomized, comparative study was conducted on patients scheduled to undergo BCS with axillary dissection after NCTH. Patients in the Harmonic Focus group had significantly shorter operative times than the monopolar electrocautery group (101.32 ± 27.3 vs. 139.3 ± 31.9 min, respectively; p < 0.001). Besides, blood loss was significantly lower in the Harmonic Focus group (117.14 ± 35.6 vs. 187 ± 49.8 mL, respectively; p < 0.001). Postoperatively, patients in the Harmonic Focus group had a significantly lower volume of chest wall drain (p < 0.001) and shorter time until drain removal (p < 0.001). Likewise, patients in the Harmonic Focus group had a significantly lower volume of axillary drain and shorter time until drain removal than monopolar electrocautery (p < 0.001). The incidence of postoperative complications was comparable between both groups (p = 0.128).Conclusions: This study confirmed the superiority of Harmonic Focus compared to monopolar electrocautery among patients receiving NCTH before BCS.

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