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Emergency Laparotomies: Causes, Pathophysiology, and Outcomes

Authors :
Afzal Azim
Armin Ahmed
Source :
Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
Publication Year :
2020

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. How to cite this article: Ahmed A, Azim A. Emergency Laparotomies: Causes, Pathophysiology, and Outcomes. Indian J Crit Care Med 2020;24(Suppl 4):S183–S189.

Details

ISSN :
09725229
Volume :
24
Issue :
Suppl 4
Database :
OpenAIRE
Journal :
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
Accession number :
edsair.doi.dedup.....7a9a697894d2e98915fa946203640815