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首页> 外文期刊>Indian medical journal >Frequency, Indications and Complications of Midline Laparotomy
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Frequency, Indications and Complications of Midline Laparotomy

机译：中线腹腔切开术的频率，适应症和并发症

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Background : laparotomy is a rapid and cost-effective means of managing acute abdominal conditions and trauma. However, it can result in complications that cause considerable morbidity and mortality. The aim of our study was to determine the frequency, indications and common post-operative complications arising after midline laparotomies. Methods :This was a cross-sectional study carried out at Department of Surgery, Sri Krishna Medical College & Hospital, Muzat'farpur, Bihar. All patients undergoing midline laparotomy at SKMCHbetween June, 2012to November, 2013 were included. Their bio-data mode of admission, time of surgery, indication for surgery and surgical findings were noted post-operatively. Daily follow up of all patients was done during their post-op hospital stay and appearance of early complications, if any, were noted. All surgical wards were visited regularly for 18 months to check for re-admittance of those patients due to any complication arising from their parent laparotomy. Results : A total of 384 patients underwent laparotomy during our study period. 262 (68.2%) were males and 122 (31.8%) were females 121 males and 78 females developed complications. 340 (88.5%) laparotomies were conducted in emergency and only 44 (11.5%) were elective 179 (62.6%) emergency cases developed 228 complications and 20 (45.5%) elective cases developed 28 complications. Most common indication for laparotomy was small intestinal perforation seen in 19.4% of emergency and 27.3% of elective cases. Wound infection, the most common complication was responsible for 21.5% and 27.27% of the total complications of emergency and elective laparotomies respectively. Conclusion : Most of the laparotomies conducted are emergency in nature. Complications rate is very high in both emergency and elective cases. (El Med ) 1:2; 2013).
机译：背景：剖腹术是管理急性腹部条件和创伤的快速且经济效益的方法。然而，它可能导致并发症，导致具有相当大的发病率和死亡率。我们研究的目的是确定中线剖腹产后产生的频率，适应症和常见的术后并发症。方法：这是在斯里克里希纳医学院和医院，比哈拉州斯里克里希纳医学院和医院外科部门进行的横断面研究。包括在2013年6月3月6月的Skmchbetween的中线剖腹手术患者的所有患者。他们的生物数据入院方式，手术时间，手术后的指示和手术调查结果被术后注意到。所有患者的日常随访都在op后医院住院期间进行，并注意到早期并发症的外观，如果有的话。所有手术病房都经常访问18个月，以检查这些患者的重新入场，因为父母剖腹手术术中出现任何并发症。结果：我们研究期间共有384名患者接受剖腹手术。 262（68.2％）是男性，122名（31.8％）是女性121名男性，78名女性发展并发症。 340（88.5％）剖腹术在紧急情况下进行，只有44（11.5％）选用179（62.6％）应急病例产生228个并发症，20（45.5％）选择性案例产生28个并发症。曲调术的最常见迹象是紧急的19.4％的小肠穿孔，有27.3％的选修案例。伤口感染，最常见的并发症分别负责分别的应急和选修剖腹产的总和的21.5％和27.27％。结论：大多数进行的腹腔切开术是紧急性的。紧急情况和选修案例的并发症率非常高。 （el med）1：2; 2013）。

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