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

2021 ◽  
Vol 8 (10) ◽  
pp. 209
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 ◽  
Blood Products ◽  
Mortality And Morbidity ◽  
Intraoperative Hypotension ◽  
Lactate Acidosis ◽  
Emergency Abdominal Surgery

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.

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

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 &amp;lt; 0.001), hypothermia (P &amp;lt; 0.001), lactate acidosis (P &amp;lt; 0.001), shock index &amp;gt; 1 (P &amp;lt; 0.001), leukopenia (P &amp;lt; 0.001), thrombocytopenia (P &amp;lt; 0.001) at admission; intraoperative hypotension (P &amp;lt; 0.001) and perioperative use of blood products (P &amp;lt; 0.001). The results of this study suggest that mortality and morbidity rates after emergency abdominal surgery in dogs are high.

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

2021 ◽  
Author(s):  
Mattia Portinari ◽  
Lara Bianchi ◽  
Alessandro De Troia ◽  
Giorgia Valpiani ◽  
Savino Spadaro ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Abdominal Surgery ◽  
Emergency Abdominal Surgery

SP9.1.7 Emergency Laparotomy for Trauma in the United Kingdom and Ireland: a Prospective Multicentre Study

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Paul Vulliamy ◽  
Max Marsden ◽  
Richard Carden ◽  
Karim Brohi ◽  
Ross Davenport ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Prehospital Care ◽  
Trauma System ◽  
Emergency Laparotomy ◽  
Trauma Patients ◽  
Transfusion Rate ◽  
Young Males ◽  
Prospective Multicentre Study ◽  
The Uk ◽  
Emergency Abdominal Surgery

Abstract Aims Trauma patients requiring abdominal surgery have significant morbidity and mortality, but are not included in existing national audits of emergency laparotomy. The aim of this study was to examine processes of care and outcomes among trauma patients undergoing emergency abdominal surgery in the UK and Ireland. Methods A prospective trainee-led multicentre audit was conducted over six months from January 2019 across the national trauma system. Patients undergoing laparotomy or laparoscopy within 24 hours of injury were included. Subgroup analysis was conducted in those requiring major haemorrhage protocol (MHP) activation. Results The study included 363 patients from 34 hospitals (22 major trauma centres). The majority were young males with no co-morbidities who required surgery for control of bleeding (51%) or exploration of penetrating injuries (46%). Over 85% received consultant-led care in the emergency department (318/363) and operating theatre (321/363). The MHP subgroup made up 45% of the cohort but accounted for 97% of deaths and 79% of ICU days, with a mortality rate of 19% and a massive transfusion rate of 32%. Compared to non-MHP patients they had shorter times to theatre (122 vs 218 minutes, p &lt; 0.001), higher rates of advanced prehospital care (60% vs 33%, p &lt; 0.001) and higher rates of consultant-led care (95% vs 85%, p &lt; 0.001). Conclusion The majority of trauma patients requiring emergency abdominal surgery receive consultant-delivered perioperative care which is appropriately tailored to patient risk profile. Despite this, mortality and resource utilization among high-risk patients remains substantial, justifying ongoing performance improvement initiatives and research into novel therapeutics.

Anaesthesia for major abdominal surgery in the elderly

2017 ◽  
Author(s):  
Chris Dodds ◽  
Chandra M. Kumar ◽  
Frédérique Servin
Keyword(s):  
Abdominal Surgery ◽  
The Elderly ◽  
Major Abdominal Surgery ◽  
Bowel Distension ◽  
Mortality And Morbidity ◽  
Risk Of Mortality ◽  
Surgery In The Elderly ◽  
Fluid Losses ◽  
Effective Analgesia ◽  
Emergency Abdominal Surgery

Major abdominal surgery and laparotomy are common procedures that are associated with a high risk of mortality and morbidity, especially in the elderly. Outcomes can be improved by formal risk stratification, appropriate perioperative resuscitation and optimization, early surgery, senior anaesthetist involvement, and careful postoperative critical. Assessment of dehydration is imperative because fluid losses are very common and may be difficult to measure. Hypothermia is common, and measures should be instituted to conserve heat loss. Use of nitrous oxide can cause bowel distension and should be avoided. Elderly patients should receive postoperative care in an environment that is appropriate to the degree of comorbidity and the type of surgery. Effective analgesia is known to improve outcome. Only experienced anaesthetists should manage major and emergency abdominal surgery.

scholarly journals EMERGENCY ABDOMINAL SURGERY;

2019 ◽  
Vol 14 (01) ◽  
pp. 10-16
Author(s):  
JUNAID SULTAN ◽  
HARIS BIN BILAL ◽  
HUMAIRA KIRAN ◽  
Badar Bin Bilal ◽  
Azam Yusuf
Keyword(s):  
Mortality Rate ◽  
Abdominal Surgery ◽  
Abdominal Sepsis ◽  
Cross Sectional Study ◽  
Successful Outcome ◽  
Emergency Laparotomy ◽  
Cross Sectional ◽  
Surgical Unit ◽  
Emergency Abdominal Surgery ◽  
Overall Mortality

Intra-abdominal (I.A) sepsis is widely recognized as the leading cause of death in patients following emergency abdominal surgery. Objective To determine the incidence of intra-abdominal sepsis after emergency abdominal surgery. To study the predisposing factors which lead to post-op. I.A sepsis. To determine the micro flora involved in I.A sepsis Study design: A quantitative cross sectional study.. Place of study: Surgical unit-l General Hospital Rawalpindi. Period: March 1999 to August 2000. Material & methods:565 patients) were followed after emergency abdominal surgery and incidence determined. Results: These 565 patients included 400 patients of acute appendicitis, 140 patients of emergency laparotomy and 25 patients of obstructed/strangulated hernias. The incidence of I.A sepsis after emergency abdominal surgery was found to be 10.6% with incidence of generalized I.A sepsis of 6.6%. Different risk factors predispose to the development of post-op. I.A sepsis. Aerobic microflora of the I.Asepsis consists predominantly of E.coli. Overall mortality rate was 7.6% with 4% cases due to post-op. I.A sepsis. Mortality rate in patients with post-op. I.A sepsis was 38.33% with mortality rate of 78% in patients with post-op, generalized I.A sepsis and of 20% in patients with I.A abscesses. Conclusion: IA sepsis continues to be one of the major challenges in general surgery. A successful outcome depends on early diagnosis, rapid and appropriate surgical intervention, prompt administration of broad spectrum antibiotics and aggressive supportive care in ICU remains the therapeutic strategy for these patients. It is important first to determine the risk status of these patients and then to apply proper and sound surgical technique and do timely decision.

Less Common Nontraumatic Bowel Perforations: Diagnosis and Management through a Retrospective Study

2013 ◽  
Vol 79 (4) ◽  
pp. 381-387 ◽  
Author(s):  
Stavros Gourgiotis ◽  
Nikolaos Liakos ◽  
George Gemenetzis ◽  
Charalampos Seretis ◽  
Stavros Aloizos ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bowel Perforation ◽  
Abdominal Radiograph ◽  
Emergency Laparotomy ◽  
Spontaneous Perforation ◽  
Computed Tomography Scan ◽  
Common Cause ◽  
Mortality And Morbidity ◽  
Diagnosis And Management ◽  
Tomography Scan

Nontraumatic bowel perforation has always been a consideration because of associated morbidity and mortality. The aim of this study is to define etiologies, treatment, and outcomes as well as to highlight difficulties in the diagnosis and management of nontraumatic bowel perforation. We conducted a retrospective study of 35 patients with less common nontraumatic bowel perforations hospitalized during a six-year period. The most common cause was ulcerative colitis (34.3%). Abdominal pain was the constant symptom. Physical examination showed signs of peritoneal irritation in 29 cases. The abdominal radiograph failed to reveal abnormal findings in two patients; the abdominal computed tomography scan confirmed the diagnosis in all cases. Twenty patients (57.1%) were operated on within 24 hours of developing perforation, whereas seven patients (20%) were initially misdiagnosed. Most of the perforations were located only in the large intestine (60%). There was only one perforation in 25 patients (71.5%) and two or more perforations in 10 patients (28.5%). Many less common diseases are responsible for the spontaneous perforation of the bowel. Early diagnosis before the patient's general condition deteriorates decreases mortality and morbidity rates. Adequate resuscitation and emergency laparotomy followed by resection with or without anastomosis remains the treatment of choice.

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