Early Postoperative Complications after Exploratory Laparotomy for Abdominal Trauma | ||||
Ain Shams Journal of Surgery | ||||
Volume 16, Issue 4, October 2023, Page 333-338 PDF (247.87 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/asjs.2023.325733 | ||||
View on SCiNiTO | ||||
Authors | ||||
Ali Mohammed Saleh 1; Mohammed Eissa1; Yasser Abdurabo Obadiel2; Arafat Alsanabani3 | ||||
1Surgery Department, Faculty of Medicine and Health Sciences, Sana’a University | ||||
2Surgery Department, Faculty of Medicine and Health Sciences, Sana’a University General Coordinator, Scientific Council Of Surgery, Arab Board of Health Specialization Sana’a, Center, Yemen | ||||
3Surgery Resident, Scientific Council Of Surgery, Arab3Surgery Resident, Scientific Council Of Surgery, Arab Board of Health Specialization Sana’a, Center, Yemen Board of Health Specialization Sana’a, Center, Yemen | ||||
Abstract | ||||
the same country. Aim of this study was to determine the etiology of abdominal trauma, the evaluate the factors affecting morbidity and mortality in our region. Methods: The research data included 230 patients who underwent laparotomy and for abdominal trauma at 48 Model hospital, Sana’a, Yemen from June 2019 to December 2022. Data were entered and analyzed through SPSS version 26. Results: Regarding the general complications septicemia and pneumonia were the most common complications (23%) and (21.3%) respectively, DIC (13%), DVT (2.6%) and myocardial infarction (1.3%). Wound infection occured in 71 patients (30.9%) and wound dehiscence in 18 patients (7.8%). Paralytic ileus occurred in 38 patients (16.5%) and 4 patients (1.7%) had early intestinal obstruction. Bile leak and anastomosis leak rates were (5.2%) and (2.2%) respectively. Regarding fistulas 6 patients (2.6%) had enterocutaneous fistulas and 4 patients (1.7%) had pancreatic fistulas. Conclusion: Laparotomy for abdominal trauma is still one of the most common surgical procedures in our practice yet it carries a significant morbidity and mortality. Many negative laparotomies also have hazardous effects for patients and that necessitates further improvement in diagnosis and evaluation of their patients. | ||||
Keywords | ||||
Penetrating trauma; blunt trauma; septicemia; pneumonia; DIC; DVT; myocardial infarction; wound infection; wound dehiscence; paralytic ileus | ||||
Statistics Article View: 67 PDF Download: 67 |
||||