DOI: 10.36347/sasjs.2020.v06i03.015

Pages: 150-153

Introduction: Abdominal surgical emergencies are a public health problem. Abdominal surgical emergencies (ASEs) are a public health problem [1], because of their frequency and cost to society. They are subdivided into two groups: non-traumatic abdominal surgical emergencies (NTASEs) and traumatic abdominal surgical emergencies (TASEs). Objective: This study aimed to investigate the epidemiological aspects of abdominal surgical emergencies, the different types and their causes. Methods: It has been achieved in Dept. Of Gastro Intestinal Laparoscopic Onco Surgery, Marks Medical College & Hospital and Tertiary care hospital Dhaka, Bangladesh. It was a transversal and descriptive study with a prospective data collection from April 20th to September 20th 2017. All patients whose diagnosis was confirmed at laparotomy were included in the study. Results: In five months, 96 patients were admitted for abdominal surgical emergencies out of a total of 394 patients who had a surgical emergency, so 24.4%. The mean age of the patients was 29 ±16.4 years and the sex ratio was 2.4. The mean elapsed time from the onset of the emergency to the arrival of the patient to the consultation was 5 days±6. Non-traumatic abdominal surgical emergencies accounted for 89.6% and the traumatic ones 10.4%. The most common disorders of Non-traumatic abdominal surgical emergencies were peritonitis (33.3%), incarcerated hernia (22.9%) and appendicitis (21.9%). For traumatic abdominal surgical emergencies, it was peritonitis due to intestinal perforation in 4 patients followed by hemoperitoneum due to hepatic wound or splenic rupture in 3 patients each one. Conclusion: Abdominal surgical emergencies are common in the surgery departments of the Marks Medical College & Hospital and Tertiary care hospital Dhaka, Bangladesh dominated by non-traumatic ones, with peritonitis in the forefront.