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

• Authors: Katarzyna Paduszyńska , Agnieszka Celnik , Lech Pomorski
• Languages of publication: EN

Abstracts

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.

Keywords

EN

acute abdomen; mortality rate; elderly patients

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2012
• Volume: 84
• Issue: 10
• Pages: 488-494

Dates

published

1 - 12 - 2012

online

28 - 12 - 2012

Contributors

author

Katarzyna Paduszyńska

• Z Kliniki Chirurgii Ogólnej i Onkologicznej Uniwersytetu Medycznego w Łodzi / (Department of General and Oncological Surgery, Medical University in Łódź)

author

Agnieszka Celnik

• Z Kliniki Chirurgii Ogólnej i Onkologicznej Uniwersytetu Medycznego w Łodzi / (Department of General and Oncological Surgery, Medical University in Łódź)

author

Lech Pomorski

• Z Kliniki Chirurgii Ogólnej i Onkologicznej Uniwersytetu Medycznego w Łodzi / (Department of General and Oncological Surgery, Medical University in Łódź)

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Identifiers

DOI

10.2478/v10035-012-0083-3