Abstract
Objective: This study sought to determine the influence of post operative gastrointestinal complication on the clinical outcome of the patients who underwent major abdominal surgeries.
Method: A prospective study was conducted on 100 patients who received major abdominal surgery due to emergency or elective cause admitted in surgical ward. Morbidity survey was used to evaluate the incidence of post operative complications. The influence of postoperative complications on both mortality and length of hospital stay was also assessed.
Results: Overall post operative gastrointestinal complication rate was 44% Post operative ileus and abdominal distension accounted for most of the complications. The incidence of post operative mortality was 10% being almost thrice with emergency operations as compared to elective operation5. The mean hospital stay was nine days for uncomplicated cases, 13 days for minor complication and 30 days for complication like enterocutaneous fistula.
Conclusions: Postoperative complication are frequent disorder that are associated with poor clinical outcomes; thus structural and procedural changes along with adequate preoperative preparation with risk assessment should be done to reduce postoperative morbidity and mortality.
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Corresponding Author
Dr Chandrakala Dutt
Associate Professor, Department of Surgery, G.R.M.C., Gwalior, MP, India