ArticleWorld journal of surgery2023
Postoperative Complications and Outcome After Emergency Laparotomy: A Retrospective Study.
Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Robotic Omental Flap Harvest for Complex Thoracic Defects: Case Series and Review of the Literature.Medical sciences (Basel, Switzerland) · 2025Pooled it
- Incidence and predictors of perioperative mortality in Ethiopia: a systematic review and meta-analysis.BMC anesthesiology · 2025Pooled it
- Patterns of patient worry following major emergency abdominal surgery: a 180-day follow-up study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Article
- Postoperative morbidity following surgery for mechanical adhesive small bowel obstruction: prevalence, risk factors and clinical outcomes.BMC surgery · 2026Article
- Postoperative pulmonary complications following major emergency abdominal surgery: incidence, risk factors, and outcomes-an observational study.Journal of anesthesia · 2026Article
- Preoperative embolization of highly vascular head and Neck Tumors and its impact on surgical outcome: A single-center experience.Pakistan journal of medical sciences · 2025Article
- Emphysematous gastritis: The silent storm within the stomach wall.The Journal of international medical research · 2025Review
- Postoperative care for patients undergoing cholecystectomy: A comprehensive nursing review.World journal of gastrointestinal surgery · 2025Review
- Retrospective cohort study of perioperative factors and outcomes in emergency laparotomy in Palestine.BMC surgery · 2025Article
- Acute Compartment Syndrome and Intra-Abdominal Hypertension, Decompression, Current Pharmacotherapy, and Stable Gastric Pentadecapeptide BPC 157 Solution.Pharmaceuticals (Basel, Switzerland) · 2025Review
- Safety and efficacy of prophylactic onlay resorbable synthetic mesh with a comprehensive wound bundle at laparotomy closure in high-risk emergency abdominal surgery: an observational study.World journal of emergency surgery : WJES · 2025Observational
- Identifying those at risk: predicting patient factors associated with worse EGS outcomes.Trauma surgery & acute care open · 2025Article
- Risk Factors and Predictive Accuracy of the Rotterdam Risk Index for Wound Dehiscence Following Abdominal Surgery.Cureus · 2025Article
- The underestimated burden of postoperative pulmonary complications in emergency laparotomy: a propensity score-matched analysis.Frontiers in medicine · 2025Article
- Socio-economic factors and rural-urban differences in patients undergoing emergency laparotomy.Annals of medicine and surgery (2012) · 2024Article
- Impact of clinical frailty on surgical and non-surgical complications after major emergency abdominal surgery.BJS open · 2024Article
- Navigating Life Post-emergency Laparotomy: A Narrative Review on Quality-of-Life Outcomes.Cureus · 2024Review
- Development and internal validation of a clinical prediction model for serious complications after emergency laparotomy.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- A Prospective Randomized Controlled Trial Comparing Clinical Equivalence of PD Synth and PDS Polydioxanone Sutures.Cureus · 2023Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency laparotomy (EL) is a common urgent surgical procedure with high risk for postoperative complications. Complications impair the prognosis and prolong the hospital stay. This study explored the incidence and distribution of complications and their impact on short-term mortality after EL.
methodsThis was a retrospective single-center register-based cohort study of 674 adults undergoing midline EL between May 2015 and December 2017. The primary outcome was operation-related or medical complication after EL. The secondary outcome was mortality in 90-day follow-up. Multivariate logistic regression analyses were used to identify independent risk factors for complications.
resultsA total of 389 (58%) patients developed complications after EL, including 215 (32%) patients with operation-related complications and 361 (54%) patients with medical complications. Most of the complications were Clavien-Dindo classification type 4b (28%) and type 2 (22%). Operation-related complications occurred later compared to medical complications. Respiratory complications were the most common medical complications, and infections were the most common operation-related complications. The 30- and 90-day mortalities were higher in both the medical (17.2%, 26.2%) and operation-related complication groups (13.5%, 24.2%) compared to patients without complications (10.5% and 4.8%, 14.8% and 8.0%). Low albumin, high surgical urgency, excessive alcohol consumption and medical complications were associated with operation-related complications. Older age, high ASA class and operation-related complications were associated with medical complications.
conclusionsThis study demonstrated that EL is associated with a high risk of complications and poor short-term outcome. Complications impair the prognosis regardless of which kind of EL is in question.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.