Key result
Postoperative ileus complicates ~26% of exploratory laparotomies, linked to older age and longer surgery times.
Why the study?
Postoperative ileus is a common complication after abdominal operations that limits early hospital discharge, but its frequency after exploratory laparotomy was not well defined at this tertiary care hospital.
Cross-Sectional (n=165)
No
Postoperative ileus is a common complication after exploratory laparotomy, occurring in approximately one-quarter of patients.
Postoperative ileus remains common after laparotomy; this Level 4 data leaves open the need for prospective prevention trials.
Introduction: To determine the frequency of postoperative ileus after exploratory laparotomy in patients admitted at Tertiary Care Hospital, Karachi. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Study was conducted at Department of Surgery, Jinnah Postgraduate Medical Center (JPMC), Karachi, from June 2018 to June 2021. Methods: Data was prospectively collected from patients after taking a verbal consent. 165 patients who met the diagnostic criteria were included. Quantitative data was presented as simple descriptive statistics giving mean and standard deviation and qualitative variables was presented as frequency and percentages. Effect modifiers were controlled through stratification to see the effect of these on the outcome variable. Post stratification chi square test was applied taking p-value of ≤0.05 as significant Results: A total of 165 patients underwent exploratory laparotomy were included in this study. Mean age, duration of surgery, duration of symptoms, height and weight in our study was 44.21±7.24 years, 2.12±1.65 hours, 10.35±3.21 hours, 148.11±18.47 cm and 58.21±11.25 respectively. 76 (46.1%) were male and 89 (53.9%) were female. Out of 165 patients, 42 (25.5%) and 123 (74.5%) had and did not have postoperative ileus. Conclusion: Postoperative ileus occurs commonly after abdominal operations and is one of the limiting factors preventing early hospital discharge. Enhanced recovery programs, grouping together all measures for prevention or cure of POI by addressing the mechanisms of POI can reduce the duration of hospitalization, morbidity and interval to resumption of transit.
No takes yet. Share an insight, caveat, or question.
Ghansham et al. (2023) conducted a cross-sectional in Postoperative ileus after exploratory laparotomy (n=165). Exploratory laparotomy was evaluated on Frequency of postoperative ileus. Postoperative ileus occurred in 25.5% of patients following exploratory laparotomy, with significantly higher frequencies associated with older age, longer symptom duration, and longer surgery time.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: