Early Postoperative Complications after Exploratory Laparotomy for Abdominal Trauma

Document Type : Original Article

Authors

1 Surgery Department, Faculty of Medicine and Health Sciences, Sana’a University

2 Surgery Department, Faculty of Medicine and Health Sciences, Sana’a University General Coordinator, Scientific Council Of Surgery, Arab Board of Health Specialization Sana’a, Center, Yemen

3 Surgery Resident, Scientific Council Of Surgery, Arab3Surgery Resident, Scientific Council Of Surgery, Arab Board of Health Specialization Sana’a, Center, Yemen Board of Health Specialization Sana’a, Center, Yemen

Abstract

the same country. Aim of this study was to determine the etiology of abdominal trauma, the evaluate the factors
affecting morbidity and mortality in our region.
Methods: The research data included 230 patients who underwent laparotomy and for abdominal trauma at 48
Model hospital, Sana’a, Yemen from June 2019 to December 2022. Data were entered and analyzed through SPSS
version 26.
Results: Regarding the general complications septicemia and pneumonia were the most common complications
(23%) and (21.3%) respectively, DIC (13%), DVT (2.6%) and myocardial infarction (1.3%). Wound infection
occured in 71 patients (30.9%) and wound dehiscence in 18 patients (7.8%). Paralytic ileus occurred in 38 patients
(16.5%) and 4 patients (1.7%) had early intestinal obstruction. Bile leak and anastomosis leak rates were (5.2%)
and (2.2%) respectively. Regarding fistulas 6 patients (2.6%) had enterocutaneous fistulas and 4 patients (1.7%)
had pancreatic fistulas.
Conclusion: Laparotomy for abdominal trauma is still one of the most common surgical procedures in our practice
yet it carries a significant morbidity and mortality. Many negative laparotomies also have hazardous effects for
patients and that necessitates further improvement in diagnosis and evaluation of their patients.

Keywords

Ain Shams Journal of Surgery
Volume 16, Issue 4
October 2023
Pages 333-338

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