Frequency of Complications Due to Intra-Abdominal Surgeries
DOI:
https://doi.org/10.54112/bcsrj.v6i4.2309Keywords:
Intra-abdominal surgery, postoperative complications, re-hospitalization, drain fall out, fistulaAbstract
Intra-abdominal procedures are associated with a broad spectrum of postoperative complications that vary widely in incidence depending on underlying pathology, surgical approach and patient comorbidities. Despite the abundance of literature, population characteristics and outcome definitions can obscure the true burden of postoperative events, necessitating continued investigation. Objective: To determine the complications due to intra-abdominal surgeries in patients presenting at Lady Reading Hospital, Peshawar. Methods: This descriptive study was conducted at the Department of General Surgery, Lady Reading Hospital, Peshawar, from 04-07-2024 to 04-01-2025, involving 213 patients aged 18 to 70 years who underwent intra-abdominal surgery. We monitored the patients for 30 days for complications such as re-hospitalisation, drain-related fall out, fistula formation and bleeding. Data were analysed using SPSS version 23, and chi-square tests for stratification were used P values < 0.05 were considered significant. Results: The mean age was 43.27±14.91 years, with 58.7% male and 41.3% female patients. The complications were fistula formation (14.6%), re-hospitalisation (13.1%), bleeding (7.5%) and drain fallout (7.0%). No noteworthy associations between the complications and the patients' age and gender were observed. Conclusion: Complications due to intra-abdominal surgeries in our study were fistula (14.6%), re-hospitalisation (13.1%), bleeding (7.5%) and drain-related fallout (7%).
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1. Khan MH, Waqar SH, Khubaib H, Shamsuddin S, Ahsan MF, Shah SA. Pattern of intra-abdominal injuries and their management in penetrating abdominal trauma. MedERA J CMH LMC IOD. 2025;7(1):137-145. DOI: https://doi.org/10.61982/medera.v7i1.260
2. Arnold M, Elhage S, Schiffern L, Paton BL, Ross SW, Matthews BD, et al. Use of minimally invasive surgery in emergency general surgery procedures. Surg Endosc. 2020;34(5):2258-2265. DOI: https://doi.org/10.1007/s00464-019-07016-1
3. Jain Y, Lanjewar R, Lamture Y, Bawiskar D. Evaluation of different approaches for pain management in postoperative general surgery patients: a comprehensive review. Cureus. 2023;15(11):e48573. DOI: https://doi.org/10.7759/cureus.48573
4. Rana A, Hassan T, Dutta S, Yahya M, Khan B, Razzaq J, et al. Effects of intraoperative administration of dexmedetomidine on postoperative pain in gastrointestinal surgery. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024;55:1629-1640.
5. Dencker EE, Bonde A, Troelsen A, Varadarajan KM, Sillesen M. Postoperative complications: an observational study of trends in the United States from 2012 to 2018. BMC Surg. 2021;21(1):393. DOI: https://doi.org/10.1186/s12893-021-01392-z
6. Ludbrook GL. The hidden pandemic: the cost of postoperative complications. Curr Anesthesiol Rep. 2022;12(1):1-9. DOI: https://doi.org/10.1007/s40140-021-00493-y
7. Leeds IL, Canner JK, Gani F, Meyers PM, Haut ER, Efron JE, et al. Increased healthcare utilization for medical comorbidities prior to surgery improves postoperative outcomes. Ann Surg. 2020;271(1):114-121. DOI: https://doi.org/10.1097/SLA.0000000000002851
8. Weinberg L, Riedel BJ. The costs of postoperative complications after major abdominal surgery: opportunities and challenges. In: Hagberg CA, Gottumukkala VNR, Riedel BJ, Nates JL, Buggy DJ, editors. Perioperative Care of the Cancer Patient. New Delhi: Elsevier; 2023. p. 594-603. DOI: https://doi.org/10.1016/B978-0-323-69584-8.00059-1
9. Javed H, Olanrewaju OA, Owusu FA, Saleem A, Pavani P, Tariq H, et al. Challenges and solutions in postoperative complications: a narrative review in general surgery. Cureus. 2023;15(12):e50942. DOI: https://doi.org/10.7759/cureus.50942
10. Ahmad K, Shehzad M, Khan KH, Ghani F. An overview of common complications of intra-abdominal drains. Pak J Surg. 2019;35(4):278-282.
11. Cheng JYJ, Wong BWJ, Chin YH, Ong ZH, Ng CH, Tham HY, et al. Preoperative concerns of patients undergoing general surgery. Patient Educ Couns. 2021;104(6):1467-1473. DOI: https://doi.org/10.1016/j.pec.2020.11.010
12. Kassahun WT, Mehdorn M, Wagner TC, Babel J, Danker H, Gockel I. The effect of preoperative patient-reported anxiety on morbidity and mortality outcomes in patients undergoing major general surgery. Sci Rep. 2022;12(1):6312. DOI: https://doi.org/10.1038/s41598-022-10302-z
13. de Vries HS, Verhaak T, van Boxtel TH, van den Heuvel W, Teixeira MB, Heisterkamp J, et al. Implementation of the small bites closure of abdominal midline incisions in clinical practice is correlated with a reduction in surgical site infections. Hernia. 2020;24(4):839-843. DOI: https://doi.org/10.1007/s10029-019-01995-9
14. Dhole S, Mahakalkar C, Kshirsagar S, Bhargava A. Antibiotic prophylaxis in surgery: current insights and future directions for surgical site infection prevention. Cureus. 2023;15(10):e47858. DOI: https://doi.org/10.7759/cureus.47858
15. Bath MF, Davies J, Suresh R, Machesney MR. Surgical site infections: a scoping review on current intraoperative prevention measures. Ann R Coll Surg Engl. 2022;104(8):571-576. DOI: https://doi.org/10.1308/rcsann.2022.0075
16. Lim SY, Kang JH, Jung MR, Ryu SY, Jeong O. Abdominal drainage in the prevention and management of major intra-abdominal complications after total gastrectomy for gastric carcinoma. J Gastric Cancer. 2020;20(4):376-384. DOI: https://doi.org/10.5230/jgc.2020.20.e32
17. Sincavage J, Msosa VJ, Katete C, Purcell LN, Charles A. Postoperative complications and risk of mortality after laparotomy in a resource-limited setting. J Surg Res. 2021;260:428-435. DOI: https://doi.org/10.1016/j.jss.2020.11.017
18. Mukakala AK, Mwembo DM, Rivain IF, Yumba SN, Kasanga TK, Mukakangala SI, et al. Early post-operative complications in abdominal surgery at the university clinics of Lubumbashi: frequency, diagnosis and prognosis. Int J Surg Sci. 2021;5(1):136-142. DOI: https://doi.org/10.33545/surgery.2021.v5.i1c.601
19. Musapud EM, Mukakala AK, Katambwa PM, Kanyanda D. Epidemiological profile of post-laparotomy external digestive fistulas in two university hospital units in Lubumbashi. J Med Res. 2020;6(4):172-177. DOI: https://doi.org/10.31254/jmr.2020.6414
20. Soylu L, Kokotovic D, Gögenur I, Ekeloef S, Burcharth J. Short and long-term readmission after major emergency abdominal surgery: a prospective Danish study. Eur J Trauma Emerg Surg. 2024;50(1):295-304. DOI: https://doi.org/10.1007/s00068-023-02352-3
21. Gilbert A, Ortega-Deballon P, Di Giacomo G, Cheynel N, Rat P, Facy O. Intraperitoneal drains move. J Visc Surg. 2018;155(2):105-110. DOI: https://doi.org/10.1016/j.jviscsurg.2017.10.001
22. Azhar M, Memon ML, Akhtar N, Altaf A. Complications of intra-abdominal drains: a single center experience. Pak Armed Forces Med J. 2021;71(6):2207-2210. DOI: https://doi.org/10.51253/pafmj.v71i6.4052
23. Taha M, Abouelsadat MK, Elfakharany M, Ibrahim A, Abufouda AM, Barai N, et al. Postoperative intra-abdominal abscess following general surgery: a systematic review of risk factors, prevention, and the role of laparotomy. Cureus. 2025;17(8):e91100. DOI: https://doi.org/10.7759/cureus.91100
24. Armellini A, Chew S, Johnston S, Muralidharan V, Nikfarjam M, Weinberg L. The hospital costs of complications following major abdominal surgery: a retrospective cohort study. BMC Res Notes. 2024;17(1):59. DOI: https://doi.org/10.1186/s13104-024-06720-z
25. Qaiser S, Noman M, Khan MS, Ahmed UW, Arif A. The role of WHO surgical checklists in reducing postoperative adverse outcomes: a systematic review. Cureus. 2024;16(10):e70923. DOI: https://doi.org/10.7759/cureus.70923
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