Home|Journals|Articles by Year Follow on Twitter

Directory for Medical Articles

Open Access

Original Research

RMJ. 2020; 45(4): 798-801

Exploratory laparotomies in the emergency room: increasing burden and implications

Waqas Hasan Syed, Raheel Ahmad, Usman Qureshi, Jahangir Sarwar Khan, Salman Shafique, Faryal Azhar, Sarosh Afzal Farooqi.

Objective: To evaluate the spectrum of laparotomies in the emergency department of a tertiary care setup in Rawalpindi, Pakistan.
Methodology: An observational retrospective study was conducted in Surgical Unit 1 of Holy Family Hospital, Rawalpindi, from June 2014 to April 2018. All patients undergoing midline exploratory laparotomy above 12 years of age, for trauma or non-traumatic reasons, were included in the study.
Results: Out of 501 patients, 297 (59.28%) were males and 204 (40.72%) females. Majority (n=402, 80.2%) were non- traumatic causes of laparotomy. Peritonitis (58.2%) followed by intestinal obstruction (28.6%) were the most common indications of laparotomy in non-trauma patients whereas blunt trauma abdomen was the most common indication in trauma patients. Tumors and tuberculosis formed a minority of indication for laparotomy.
Conclusion: In resource limited countries like Pakistan, we need more specialized centers at grass root level to share burden of emergency. Moreover, proper screening at primary and secondary level healthcare facilities may help decrease morbidity and mortality associated with tumors and tuberculosis presenting as acute abdominal emergencies.

Key words: Emergency exploratory laparotomies, intestinal obstruction, peritonitis.

Similar Articles

Health-seeking behaviour, views and preferences of adults with suspected increased intestinal permeability: A cross-sectional survey of Australian adults.
Leech B, McIntyre E, Steel A, Sibbritt D
Integrative medicine research. 2022; 11(1): 100757

Coexisting congenital mid-ureteral stricture and megaureter due to ureterovesical junction obstruction: A case report.
Nakanishi S, Miyazato M, Tanaka K, Uema N, Saito S
Urology case reports. 2022; 40(): 101877

The effect of enzymes on the in vitro degradation behavior of Mg alloy wires in simulated gastric fluid and intestinal fluid.
Zhang Y, Cao J, Wang X, Liu H, Shao Y, Chu C, Xue F, Bai J
Bioactive materials. 2022; 7(): 217-226

Clinical Performance of Monocyte Distribution Width for Early Detection of Sepsis in Emergency Department Patients: A Prospective Study.
Yu S, Song SA, Jun KR, Park HY, Lee JN
Annals of laboratory medicine. 2022; 42(2): 286-289

Biomarker Rule-in or Rule-out in Patients With Acute Diseases for Validation of Acute Kidney Injury in the Emergency Department (BRAVA): A Multicenter Study Evaluating Urinary TIMP-2/IGFBP7.
Yang HS, Hur M, Lee KR, Kim H, Kim HY, Kim JW, Chua MT, Kuan WS, Chua HR, Kitiyakara C, Phattharapornjaroen P, Chittamma A, Werayachankul T, Anandh U, Herath S, Endre Z, Horvath AR, Antonini P, Somma SD,
Annals of laboratory medicine. 2022; 42(2): 178-187

Full-text options

Latest Statistics about COVID-19
• pubstat.org

Add your Article(s) to Indexes
• citeindex.org

Covid-19 Trends and Statistics
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.

ScopeMed Web Sites