Clinical Study of Occurrence of Postoperative Sepsis after Emergency Abdominal Surgeries

Paramaguru, P (2020) Clinical Study of Occurrence of Postoperative Sepsis after Emergency Abdominal Surgeries. Masters thesis, Tirunelveli Medical College, Tirunelveli.

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Abstract

INTRODUCTION: Post-operative sepsis is one of the most frustrating and difficult problem experienced by the surgeons in the post-operative period. It remains a significant cause of morbidity and mortality following emergency abdominal surgeries. It increases the cost of treatment and is associated with distruption of normal life and unanticipated stress to patients. AIM OF THE STUDY: To study the occurrence of post-operative sepsis which includes SSI and major septicaemia following emergency abdominal surgeries: 1. To study the various preoperative, intraoperative and post-operative factors influencing post-operative sepsis. 2. To study the microbiology of infection. 3. To study the mortality of post-operative sepsis. METHODOLOGY: This study was conducted in TVMCH in the department of general surgery after getting approval from the ethical committee. After getting prior informed consent for the surgery and study subjects were enrolled for the study. The details regarding the patient investigations, diagnosis, surgical procedure, intraoperative findings, prophylactic antibiotics, postoperative period and follow up were recorded. Around 180 patients were undergone emergency abdominal surgeries during the period between October 2017 to august 2019.among them 126 were males and 54 were females. RESULTS: The incidence as per this study is around 16.6%as compared to 22.7% in previous studies. CONCLUSION: With the present study it is concluded that the cause of postoperative sepsis is multifactorial, which depends on various preoperative, intraoperative and postoperative factors.

Item Type: Thesis (Masters)
Additional Information: 221711361
Uncontrolled Keywords: Septicaemia, septic shock, wound dehiscence, burst abdomen, appendicectomy.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 11 Feb 2021 02:04
Last Modified: 11 Feb 2021 02:04
URI: http://repository-tnmgrmu.ac.in/id/eprint/14039

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