A clinical investigation into the incidence of postoperative sepsis following emergency abdominal surgeries

Authors

  • Dr. Tallam Nageshwar Rao, Dr. Shekhar Samudrala, Dr. Praveen Mangalagiri, Dr. Md Shadab Jaseem Author

DOI:

https://doi.org/10.48047/

Keywords:

postoperative sepsis, abdominal surgeries, microbial infection, intraoperative result

Abstract

Background and Objective: To ascertain the incidence of postoperative sepsis following emergency abdominal surgeries, the various risk factors during the preoperative, intraoperative, and postoperative periods, the microbiology of infection, and the mortality of sepsis. Method: The ethics council gave its consent before this study was conducted, and 200 patients from all of the surgical department's units who underwent urgent abdominal procedures were chosen for the investigation. Each patient was enrolled in the trial after providing written informed consent. Throughout the research period, patient data was recorded, including diagnosis, investigations, the surgical procedure carried out, intraoperative outcomes, postoperative time, prophylactic antibiotics, and follow-up period.
Result: The mean age of males was 39.1+18.0 years and that of females was 38.0+19.0 years; the difference in ages between the sexes was not statistically significant (p>0.05); the mean age of all subjects was 39.7+18.6 years, with a range of 66 years; the relationship between the wound class and culture was statistically different (p<0.05); and the culture was strongly associated with the wound class.
Conclusion: This study assessed how complicated the variables that affect surgical sepsis are. In contrast to past research like Brun Buisson C et al, where the incidence was around 22.8%, there is a diminishing incidence in this study. Effective surgical methods, proper bowel anastomosis with enough vascularity, proper haemostasis, blood transfusions to treat anaemia, bowel exteriorization in the presence of cross contamination, early mobilisation and use of effective antibiotics, a healthy nutritional state, and avoidance of hypotension are among the best resuscitation techniques

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Published

2023-10-06