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percent, low 3.4 percent), increasing to 5.4 percent by 30 days (high 4.5 percent, middle 6.0 percent, low 8.6 percent). Of the 578 patients who died, 404 (69.9 percent) did so between 24 hours and 30 days following surgery (high 74.2 percent, middle 68.8 percent, low 60.5 percent). Patient safety factors were suggested to play an important role, with use of the WHO Surgical Safety
Checklist associated with reduced mortality at 30 days.
25:
296:, and vigilant post-operative monitoring greatly reduce the risk of these complications. Planned surgery performed under sterile conditions is much less risky than that performed under emergency or unsterile conditions. The contents of the bowel are unsterile, and thus leakage of bowel contents, as from trauma, substantially increases the risk of infection.
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approach to abdominal surgery where rigid tubes are inserted through small incisions into the abdominal cavity. The tubes allow introduction of a small camera, surgical instruments, and gases into the cavity for direct or indirect visualization and treatment of the abdomen. The abdomen is inflated
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Taking a similar approach, a unique global study of 1,409 children undergoing emergency laparotomy from 253 centres in 43 countries showed that adjusted mortality in children following surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries,
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from 357 centres in 58 high-, middle-, and low-income countries found that mortality is three times higher in low- compared with high-HDI countries even when adjusted for prognostic factors. In this study the overall global mortality rate was 1.6 percent at 24 hours (high 1.1 percent, middle 1.9
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with carbon dioxide gas to facilitate visualization and, often, a small video camera is used to show the procedure on a monitor in the operating room. The surgeon manipulates instruments within the abdominal cavity to perform procedures such as
328:. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23)) and middle-HDI (4.42 (1.44 to 13.56)) countries compared with high-HDI countries.
555:
Gershkovich, Pavel; Itin, Constantin; Yacovan, Avihai; Amselem, Shimon; Hoffman, Amnon (2009). "Effect of abdominal surgery on the intestinal absorption of lipophilic drugs: Possible role of the lymphatic transport".
250:(also called scar tissue): complications of postoperative adhesion formation are frequent, they have a large negative effect on patients’ health, and increase workload in clinical practice
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removal), the most common laparoscopic procedure. The laparoscopic method speeds recovery time and reduces blood loss and infection as compared to the traditional "open" method.
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translating to 40 excess deaths per 1,000 procedures performed in these settings. Internationally, the most common operations performed were
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Charoenkwan, Kittipat; Iheozor-Ejiofor, Zipporah; Rerkasem, Kittipan; Matovinovic, Elizabeth (2017-06-14). Cochrane Wounds Group (ed.).
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following abdominal surgery across different health systems. One major prospective study of 10,745 adult patients undergoing emergency
508:"Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries"
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GlobalSurg
Collaborative (2016). "Mortality of emergency abdominal surgery in high-, middle- and low-income countries".
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178:(also known as C-section): a surgical procedure in which one or more incisions are made through a mother's abdomen (
137:). Surgery of each abdominal organ is dealt with separately in connection with the description of that organ (see
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Absorption of drugs administered orally was shown to be significantly affected following abdominal surgery.
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Complications of abdominal surgery include, but are not limited to:
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Broek R, Issa Y, Van
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The most common abdominal surgeries are described below.
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in infection rates during major abdominal surgeries.
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318:small bowel resection
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290:antibiotics
232:gallbladder
219:Laparoscopy
188:hysterotomy
641:Categories
391:References
375:Laparotomy
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416:: f5588.
259:Infection
248:Adhesions
121:The term
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365:Diabetes
342:See also
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