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April 11, 2026World Journal of Surgery0 citationsOpen Access

Patient Experience and Outcomes After Emergency Laparotomy

Patient Experience of Emergency Laparotomy: A Mixed Methods Study (The PEEL‐2 Study)

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Why the study?

What are the long-term patient-reported outcomes and experiences among emergency laparotomy survivors?

Population

310 patients who underwent emergency laparotomy from 2016-2019 at a tertiary hospital

Design

Cross-sectional

Follow-up

Mean 33 months (range 6-54 months)

Key result

Emergency laparotomy survivors experienced significant physical and psychological burdens, with 38.9% reporting incisional hernias and 34.0% expressing dissatisfaction with body image.

Authors

LSLouise M. SilvaSMSarah A. MohammedPSPaula Strong

Discussion

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Overview

Highlights the need for targeted post-operative support in socioeconomically disadvantaged or higher-.

Key Points

  • The study aims to assess quality of life and patient-reported outcomes among survivors of emergency laparotomy.
  • Conducted a retrospective mixed-methods analysis of patients who underwent EmLap from 2016-2019.
  • Collected demographic and clinical data from the National Emergency Laparotomy Audit (NELA) databases.
  • Administered surveys regarding quality of life, employment, sexual function, and other factors.
  • Performed thematic analysis of qualitative responses and regression analysis for quantitative data.
  • Identified 725 eligible patients, with a 42.8% response rate from 310 completed surveys.
  • Mean follow-up length was 33 months, revealing QoL linked to higher socioeconomic status and reduced BMI.
  • 38.9% of respondents reported incisional hernias, and 34.0% indicated dissatisfaction with body image.
  • Free-text responses highlighted issues such as unmet mental health support and dietary guidance needs.

Study Design

Type

Observational (n=310)

Multicenter

No

Structured PICO

What are the long-term patient-reported outcomes and experiences among emergency laparotomy survivors?

P
Population
310 patients who underwent emergency laparotomy (EmLap) from 2016-2019 at a tertiary hospital (out of 725 eligible patients)
I
Intervention
Emergency laparotomy (observational survivorship)
O
Outcome
Quality of life (EQ-5D-5L) and patient-reported outcomes and experiences (PROMs and PREMs)patient reported

Emergency laparotomy survivors face significant physical, psychological, and socioeconomic burdens, highlighting the need for tailored post-operative support systems.

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Cite This Study

Silva et al. (2026) conducted an observational in Emergency laparotomy survivors (n=310). Emergency laparotomy was evaluated on Quality of life (EQ-5D-5L) and patient-reported outcomes and experiences. Emergency laparotomy survivors experienced significant physical and psychological burdens, with 38.9% reporting incisional hernias and 34.0% expressing dissatisfaction with body image.

synapsesocial.com/papers/69d9e66378050d08c1b76bb3https://doi.org/10.1002/wjs.70342
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