Abstract
Background:Undiagnosed cirrhotic patients are frequently encountered during routine andemergency surgery. These patients have a higher incidence of blood loss & wound infection, resulting in prolonged hospital stay.This study was conducted to highlight the possible complications which result in prolonged hospital stay in these patients.Methods: A total of 38 patients were incidentally found to have cirrhosisout of a total of 1560 patients whounderwentabdominal operation. Diagnosis was confirmed on per-operative liver biopsy and was suspected preoperatively in patient having abnormal liver function test.Per-operative bleeding, postoperative wound infection and hospital stay was compared in cirrhotic and non-cirrhotic patients.Results:The mean blood loss was 310 mlin cirrhotic patients as compared to 205mlin non-cirrhotic patientswhich was statistically significant (p-value 0.008).Post-operativeinfection rate was 21% in cirrhoticpatients compared to non- cirrhotic patients 5%. Significance was tested using Pearson Chi square test (0.042).The Average hospital stay was 10 days in cirrhotic patients and 7.5 days in non-cirrhoticpatientsrespectively which was statistically significant (p-value 0.006). Conclusion: There is statistically significant difference in per-operative bleeding, wound infection and hospital stayin cirrhotic and non-cirrhotic patients
Brig. Rasikh Maqsood, , Alia Rasikh, , Zahoor Iqbal, , Muhammad Usman Asghar, , Tariq Abbasi. (2015) MORBIDITY OF SURGERY IN PREVIOUSLY UNDIAGNOSED CIRRHOTIC PATIENTS, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 27, Issue 3.
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