الفهرس | Only 14 pages are availabe for public view |
Abstract Emergency laparotomies form a broad group of time-sensitive surgeries done on variable patient population. Broadly, they can be divided into trauma and non-trauma laparotomies. Average mortality rate after emergency laparotomies ranges from 10% to 18% in different studies which is much higher than elective surgeries. There is significant global inequity among different countries in terms of access to standard emergency surgical facilities, with lower income countries sharing the highest burden of surgical mortalities. Regular perioperative care pathways have been used to enhance outcome of these surgeries in many high-income countries. As these countries already have separate welldeveloped trauma care network, only non-trauma laparotomies (acute abdomen) are included in their audits and care pathways for emergency laparotomies. Elective surgery patient care pathways like enhanced recovery after surgery (ERAS) has caused significant reduction in morbidity and length of stay for elective surgery patients, but such well-defined evidencebased pathways are still evolving in the field of emergency laparotomy. |