An Audit of Patients Undergoing Midline Emergency Laparotomy | [Journal of Rawalpindi Medical College • 2013]

Author(s):

1. Asifa Dian: Department of Surgery, Benazir Bhutto Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

2. Tasleem Akhtar: Department of Surgery, Benazir Bhutto Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

3. Sadia Jaskani: Department of Surgery, Benazir Bhutto Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

4. M. Hanif: Department of Surgery, Benazir Bhutto Hospital and Rawalpindi Medical College,Rawalpindi, Pakistan

5. Hamid Hassan: Department of Surgery, Benazir Bhutto Hospital and Rawalpindi Medical College, Rawalpindi, Pakistan

Abstract:

Background: To study the frequency of trauma and peritonitis requiring emergency laparotomy . Methods: In this descriptive study patients undergoing midline emergency laparotomy were enrolled. Patients were divided into three groups, i.e., Group A(1-30 years of age), Group B ( 31-60 years of age) and Group C ( more than 61 years of age). Information regarding age, sex, presenting complaints and diagnostic findings were collected . Laparotomy through midline was performed in all patients . Results: Out of 440 patients, majority(63.6%) were male . Patients belonging to 1-30 years (Group A) were 58.18%. Majority (75.68%) were operated for peritonitis, rest (24.32%) were due to trauma. Enteric perforation (26.43%) was the commonest cause of peritonitis Conclusion: Peritonitis is the leading cause of exploratory laparotomy in the surgical emergency at a tertiary care hospital in our setup. Enteric and tuberculous perforations are the major causes of peritonitis.

Page(s): 52-53

DOI: DOI not available

Published: Journal: Journal of Rawalpindi Medical College, Volume: 17, Issue: 1, Year: 2013

Keywords:

Trauma , laparotomy , Peritonitis

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