Objective : This study aimed to determine the significant factors that can predict mortality in emergency laparotomy on acute abdomen of all emergency surgically treated patients Methods : This is a retrospective review of prospectively collected data conducted in a tertiary health centre over a period of one year 2014. There were totally 809 cases underwent emergency surgery which include uncomplicated appendicectomy, I & D for Psoas abscess etc ., Out of them 212 (26%) were emergency laparotomies are included in the present study. Patients aged 14 years and over with acute abdomen underwent emergency laparotomy were consecutively entered into the study .The factors such as low socio economic status ,illiteracy, rural residence, delayed presentation, associated medical illness and their effect on outcome of patient after surgery were studied and etiology of acute abdomen was also studied. Results :. The mean age in the present study was 44.03±15.87 years . The most common diagnoses were peritonitis due to hollow viscous perforation (59%), intestinal obstruction (22%) and abdominal trauma(17%),ruptured liver abscess(2%). Exploratory laparotomy for Hollow viscous perforation (59%) was the most common operation. The mortality rate was found to be 12.7%. illiteracy, associated medical illness, delayed presentation with a p value <0.05 Conclusion : Operations for peritonitis due to hollow viscous perforation especially gastroduodenal perforation have increased , followed by obstruction due to adhesions and bands & strangulated hernias. Illiteracy, associated medical illness and delayed presentation were found to be most significant factors to predict mortality in emergency laparotomies for acute abdomen

Author Name: G Kiran Kumar, Ds Chakravarthi, V Raj Kamal, G Arjuna, M Vijayalaxmi

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Keywords: emergency laparotomy , acute abdomen, predictive factors, mortality

ISSN: 2250-1991

EISSN: 2250-1991

EOI/DOI: 10.15373/22501991

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