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VOLUME 24 , ISSUE S4 ( September, 2020 ) > List of Articles

INVITED REVIEW

Emergency Laparotomies: Causes, Pathophysiology, and Outcomes

Keywords : Emergency laparotomy, Perioperative care, Perioperative mortality, Quality improvement

Citation Information :

DOI: 10.5005/jp-journals-10071-23612

License: CC BY-NC 4.0

Published Online: 18-11-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Emergency laparotomies have remained a challenging entity since many decades. Only during the past 10 years, serious efforts have been made to improve their outcome by conducting audits and designing care pathways. Indications for emergency laparotomies can be broadly classified into trauma and non-trauma surgeries, which are either done for control of hemorrhage or/and done for control of sepsis and organ dysfunction. Goal-directed resuscitation for septic/hemorrhagic shock, consultant-led multidisciplinary teams, and timely transfer to intensive care units form core principles of management for these patients. Global inequity in access to standard and affordable emergency surgeries is an area of concern requiring integrated efforts at international level.


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