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FREQUENCY OF POST OPERATIVE MORTALITY AFTER EMERGENCYLAPAROTOMY AT TEACHING HOSPITAL

Dr. Ahmed Ali Danish, Dr. Abdul Salam Memon, Dr. Arshad Hussain Abro, Dr. Hamid Nawaz Ali Memon, Dr. Samar Raza and *Muhammad Jan Khetran

Objective: To determine the frequency of post operative mortality after emergency laparotomy at teaching hospital. Patients And Methods:A total of fifty patients underwent for surgery were included in this study. Patients were interrogated in detail regarding their particulars, presenting complaints, past history, treatment received, any previous surgery done etc. Patients were resuscitated by IV fluid, antibiotic and supportive treatments. Diagnostic investigations like X- ray abdomen, USG abdomen were done; other essential investigations like hemoglobin, TLC, DLC, blood sugar, LFT, blood urea, serum creatinine etc were done. Patients were regularly monitored and Post complications were recorded based on investigative and clinical findings. Patients were treated accordingly. Mortality was recorded and incidence was calculated whereas the frequency / percentages (%) and means ±SD computed for study variables. Results:During six month study period total fifty patients who underwent emergency laparotomy were explored and study. The mean ± SD for age of population was 54.72±6.93 respectively. Regarding gender male 32 (64%), female 18 (36%) and diagnosis Ileal perforation peritonitis 11 (22%), appendicular perforation 12 (24%) and abdominal tuberculosis 09 (18%) while complications observed as gastrointestinal 10 (20%), Renal 13 (26%) and Pulmonary 09 (18%) and mortality was identified as 08 (16%). Conclusion:The effective result of a laparotomy depends of patients factors, pre operative biochemical parameters. KeyWords:Mortality and Emergency laparotomy.

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