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2012 | 84 | 10 | 488-494
Tytuł artykułu

Patients Subject to Surgery due to Acute Abdominal Disorders during the Period between 2001-2004

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
was to evaluate the clinical spectrum of emergency surgery for acute abdominal disorders and their outcome. Material and methods. The study group comprised 1426 patients, aged between 10 and 92 years subject to emergency surgery, due to an acute abdomen during the period 2001-2004. Analysis comprised age, sex, concomitant diseases, ASA scale classification, postoperative diagnosis, type of surgery, complications, mortality and duration of hospitalization. Patients were divided into two age groups: <60 and ≥60 years. Results. Appendicitis was the most common diagnosis (52.9%) in patients under 60 years, while cholecystitis (32.5%) and ileus (30.9%) in patients over 60 years. Complications were observed in 14.8% patients, the most common being related with wound healing (5.6%). The mortality rate amounted to 5.7%. Mortality was most often associated with bowel obstruction (29.2%), surgery for acute bowel ischemia (25.5%), and bowel perforation (20.7%). The mean duration of hospitalization was 7.9 days. Conclusions. 1. In comparison to elective surgery, emergency abdominal operations, particularly in elderly patients are related with a higher mortality rate. 2. In elderly patients, the high mortality rate and substantial number of complications is associated with the advanced primary disease and severe coexisting comorbidities, which significantly reduce the overall health condition.
Słowa kluczowe
Wydawca

Rocznik
Tom
84
Numer
10
Strony
488-494
Opis fizyczny
Daty
wydano
2012-12-01
online
2012-12-28
Twórcy
  • Z Kliniki Chirurgii Ogólnej i Onkologicznej Uniwersytetu Medycznego w Łodzi / (Department of General and Oncological Surgery, Medical University in Łódź)
  • Z Kliniki Chirurgii Ogólnej i Onkologicznej Uniwersytetu Medycznego w Łodzi / (Department of General and Oncological Surgery, Medical University in Łódź)
  • Z Kliniki Chirurgii Ogólnej i Onkologicznej Uniwersytetu Medycznego w Łodzi / (Department of General and Oncological Surgery, Medical University in Łódź)
Bibliografia
  • 1. Wysoki A, Panek J, Krzywoń J: Przyczyny ostrych chirurgicznych chorób jamy brzusznej i wiek chorych w ostatnich 60 latach. Pol Przegl Chir 1999; 71: 368-76.
  • 2. Irvin TT: Abdominal pain: a surgical audit of 1190 emergency admissions. Br J Surg 1989; 76: 1121-25.
  • 3. Mettinen P, Pasanen P, Lahtinen J et al.: Acute abdominal pain in adults. Ann Chir et Gynaecol 1996; 85: 5-9.
  • 4. Court-Brown CM, McQueen MM, Patterson-Brown S et al.: Emergency surgical care in Scotland. Surgeon 2007; 5 (2): 72-75.[Crossref]
  • 5. McCaig L, Burt CW: National ambulatory medical care survey: 2002 emergency department summary. Adv Data 2004; 340: 1-34
  • 6. Al-Gamrah A: Diagnostic and therapeutic management of acute abdomen in Hajah, Jemen. Chirurg 2004; 75: 622-26.
  • 7. McConkey SJ: Case series of acute abdominal surgery in rural Sierra Leone. World J Surg 2002; 26: 509-13.[Crossref][PubMed]
  • 8. Borisov AE, Mikhaalov AP, Akimov VP: An analysis of the treatment indices of patients with acute surgical diseases of the abdominal organs in Saint-Petersburg over 50 years (1946-1996). VestnKhir Im I I Grek 1997; 156: 35-39.
  • 9. Fenyo G, Boijsen M, Enochccon L et al.: Acute abdomen calls for considerable care resources. Analysis of 3727 in-patients in the country of Stockholm during the first quarter of 1995. Lakartidiningen 2000; 97: 4008-12.
  • 10. Kettunen J, Paajanen J, Kostiainen S: Emergency abdominal surgery in the elderly. Hepatogastroenterol 1995; 42: 106-08.
  • 11. Arenal J, Bangoechea-Beeby M: Mortality associated with emergency abdominal surgery in the elderly. Can J Surg 2003; 46: 111-18.
  • 12. Tytgat SHAJ, Bakier XR, Butzelaar RMJM: Laparoscopic evaluation of patients with suspected acute appendicitis. Surg Endosc 1998; 21: 918.
  • 13. Cichoń S, Brzeziński M, Orlicki P i wsp.: Niedrożność mechaniczna jelit w materiale III Kliniki Chirurgii Ogólnej Collegium Medium UJ. Przeg Lek 1997; 54: 154-57.
  • 14. Malangoni AM, Times ML, Kozik D et al.: Admitting service influence the outcome of patients with small bowel obstruction. Surgery 2001; 130: 706-13.
  • 15. Jenkins JT, Taylor AJ, Behrns KE: Secondary causes of intestinal obstruction: rigorous preoperative evaluation is required. Am Surg 2000; 66: 662-66.
  • 16. Kougias P, Lau D, El Sayed HF, Zhou W et al.: Determinants of mortality and treatment outcome following surgical intervensions for acute mesenteric ischaemia. J Vasc Surg 2007; 46 (3): 467-74.[WoS][Crossref]
  • 17. Haghighi PH, Lankarani KB, Taghavi SA et al.: Acute mesenteric ischaemia: causes and mortality rates over sixteen years in southern Iran. Indian J Gastroeneteol 2008; 27 (6): 236-38.
  • 18. Sillakivi T, Yang Q, Peetsalu A, Ohmann Ch, Copernicus Study Group and Abdominal Pain Study Group: Perforated peptic ulcer: is there anydifference between Ekstern Europe and Germany? Langenbeck’s Arch Surg 2000; 385: 344-49.
  • 19. Girgin S, Gedik E, Tacyilids IH: Factors affecting morbidity and mortality in gangrenous cholecystitis. Acta Chir Belg 2006; 106 (5): 545-49.[PubMed]
  • 20. Kocer B, Surmeli S, Solak C et al.: Factors affecting mortality and morbidity in patients with peptic ulcer perforation. J Gastroenterol Hepatol 2007 22 (4): 565-70.[WoS][Crossref]
  • 21. Oomen JL, Engel AF, Cuesta MA: Mortality after acute surgery for complications of diverticular disease of the sigmoid colon is almost excusively due to patient related factors. Colorectal Dis 2006; 8 (2): 112-19. [Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-012-0083-3
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