Current Outcomes of Emergency Large Bowel Surgery
| Autor: | Norman Binnie, Hwei J Ng, M Twoon, M. Yule, Emad H Aly |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Consultant surgeon Multiple Organ Failure MEDLINE Peritonitis Young Adult Patient Admission Postoperative Complications Ischemia Patient age medicine Humans Hospital Mortality Intestine Large Young adult Digestive System Surgical Procedures Aged Retrospective Studies Aged 80 and over business.industry General surgery Mortality rate Retrospective cohort study General Medicine Middle Aged Surgical training Bowel surgery United Kingdom Surgery Intensive Care Units Intestinal Perforation Female Emergencies Colorectal Neoplasms business Colorectal Surgery Intestinal Obstruction |
| Zdroj: | The Annals of The Royal College of Surgeons of England. 97:151-156 |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/003588414x14055925059679 |
| Popis: | Introduction Emergency large bowel surgery (ELBS) is known to carry an increased risk of morbidity and mortality. Previous studies have reported morbidity and mortality rates up to 14.3%. However, there has not been a recent study to document the outcomes of ELBS following several major changes in surgical training and provision of emergency surgery. The aim of this study was therefore to explore the current outcomes of ELBS. Methods A retrospective review was performed of a prospectively maintained database of the clinical records of all patients who had ELBS between 2006 and 2013. Data pertaining to patient demographics, ASA (American Society of Anesthesiologists) grade, diagnosis, surgical procedure performed, grade of operating surgeon and assistant, length of hospital stay, postoperative complications and in-hospital mortality were analysed. Results A total of 202 patients underwent ELBS during the study period. The mean patient age was 62 years and the most common cause was colonic carcinoma (n=67, 33%). There were 32 patients (15.8%) who presented with obstruction and 64 (31.7%) had bowel perforation. The overall in-hospital mortality rate was 14.8% (n=30). A consultant surgeon was involved in 187 cases (92.6%) as either first operator, assistant or available in theatre. Conclusions ELBS continues to carry a high risk despite several major changes in the provision of emergency surgery. Further developments are needed to improve postoperative outcomes in these patients. |
| Databáze: | OpenAIRE |
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