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Research Paper | General Surgery | India | Volume 12 Issue 3, March 2023

Assessment of Mortality and Morbidity in Emergency Laparotomy in Tertiary Care Hospital - A Retrospective Study

Kalpesh Shirsath | Vijay Potey | Girish Jatkar ^[2] | Vijay Kanake

Abstract: Background: Laparotomies are one of the most commonly performed surgeries on an emergency basis for hollow viscus perforation, intestinal obstruction, trauma with blunt & penetrating abdominal injuries. But it carries significant mortality and morbidity. Evaluation of factors responsible for mortality and morbidity will provide good outcome of patient and will reduce mortality and morbidity. Aim: To determine & evaluation of factors responsible for mortality and morbidity in emergency laparotomy in tertiary care hospital. Methods: A retrospective analysis of 300 patients between 2017 to 2022 by describing quantitative measures which was expressed as mean, median standard deviation and Qualitative type of data was expressed as percentage or proportion by using preoperative and intraoperative, postoperative factors. Results: Our study shows Post operative septic shock was major cause of mortality. Statistical significance was seen for systolic blood pressure, diastolic blood pressure, urine output and site of perforation as compared with mortality and morbidity. [p <0.001] Higher the grade of claviendiendo classification greater is the mortality and morbidity.

Keywords: Emergency, Laparotomy, Mortality, Morbidity

Edition: Volume 12 Issue 3, March 2023,

Pages: 929 - 933