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SAS Journal of Surgery | Volume-6 | Issue-05
Spectrum of Emergency Celiotomy at National Institute of Medical Sciences and Research, Jaipur
Shashank Singhal, Satyendra Pal Singh, Nikhil Mishra
Published: May 27, 2020 | 153 107
DOI: 10.36347/sasjs.2020.v06i05.008
Pages: 243-249
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Abstract
Emergency Celiotomy is a high risk procedure. This was a hospital-based descriptive study performed in a tertiary care teaching hospital. Celiotomies are more often than not performed in an emergency setting, where these are life-saving procedures, but because of lack of adequate investigations and pre-operative definitive diagnosis as well as inherent risks of the major surgery and anesthesia, involve a significant risk of morbidity and mortality.The aim of the study is to determine the spectrum of emergency celiotomy. Total number of 265 patients were involved under this study who were admitted to the Department of General Surgery, National Institute of Medical Sciences and Research, Jaipur. After collecting the data, the statistical analysis was performed using the licensed version of statistical package for social science version 17 (SPSS-17) available in the department of Preventive and Social Medicine, NIMSR, Jaipur. Peptic perforation (33%), acute intestinal obstruction (21%) and abdominal trauma (21%) are the common causes of Emergency Celiotomy. In our study, early on the day of admission, is the sheet anchor in saving these patients. 82.3% cases of our study were operated within 24 hours of admission. Emergency celiotomy carries with it a high mortality (12.1%) and this mortality is more common in patients with abdominal trauma, because of associated injuries and delayed presentation.