Key result
Perioperative morbidity and mortality in emergency and complicated colorectal surgical patients remain significantly high, requiring meticulous fluid therapy and multidisciplinary care.
Early recognition of complications and multidisciplinary critical care management are essential for optimizing outcomes in high-risk colorectal surgical patients.
Emphasizes persistent high risks in emergency colorectal surgery; leaves open optimal fluid strategies for prospective trials.
Colorectal surgery carries significant morbidity and mortality, which is associated with an enormous use of healthcare resources. Patients with pre-existing morbidities, and those undergoing emergency colorectal surgery due to complications such as perforation, obstruction, or ischemia / infarction are at an increased risk for adverse outcomes. Fluid therapy in emergency colorectal surgical patients can be challenging as hypovolemic and septic shock may coexist. Abdominal sepsis is a serious complication and may be diagnosed during pre-, intra-, or postoperative periods. Early suspicion and recognition of medical and / or surgical complications are essential. The critical care management of complicated colorectal surgical patients require collaborative and multidisciplinary efforts.
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Patel et al. (2012) conducted a review in Colorectal surgery. Perioperative management was evaluated. Perioperative morbidity and mortality in emergency and complicated colorectal surgical patients remain significantly high, requiring meticulous fluid therapy and multidisciplinary care.
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