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Emergency Laparotomies: Causes, Pathophysiology, and Outcomes
Emergency laparotomies have remained a challenging entity since many decades. Only during the past 10 years, serious efforts have been made to improve their outcome by conducting audits and designing care pathways. Indications for emergency laparotomies can be broadly classified into trauma and non-...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Jaypee Brothers Medical Publishers
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724938/ https://www.ncbi.nlm.nih.gov/pubmed/33354039 http://dx.doi.org/10.5005/jp-journals-10071-23612 |
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author | Ahmed, Armin Azim, Afzal |
author_facet | Ahmed, Armin Azim, Afzal |
author_sort | Ahmed, Armin |
collection | PubMed |
description | Emergency laparotomies have remained a challenging entity since many decades. Only during the past 10 years, serious efforts have been made to improve their outcome by conducting audits and designing care pathways. Indications for emergency laparotomies can be broadly classified into trauma and non-trauma surgeries, which are either done for control of hemorrhage or/and done for control of sepsis and organ dysfunction. Goal-directed resuscitation for septic/hemorrhagic shock, consultant-led multidisciplinary teams, and timely transfer to intensive care units form core principles of management for these patients. Global inequity in access to standard and affordable emergency surgeries is an area of concern requiring integrated efforts at international level. How to cite this article: Ahmed A, Azim A. Emergency Laparotomies: Causes, Pathophysiology, and Outcomes. Indian J Crit Care Med 2020;24(Suppl 4):S183–S189. |
format | Online Article Text |
id | pubmed-7724938 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Jaypee Brothers Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-77249382020-12-21 Emergency Laparotomies: Causes, Pathophysiology, and Outcomes Ahmed, Armin Azim, Afzal Indian J Crit Care Med Invited Review Emergency laparotomies have remained a challenging entity since many decades. Only during the past 10 years, serious efforts have been made to improve their outcome by conducting audits and designing care pathways. Indications for emergency laparotomies can be broadly classified into trauma and non-trauma surgeries, which are either done for control of hemorrhage or/and done for control of sepsis and organ dysfunction. Goal-directed resuscitation for septic/hemorrhagic shock, consultant-led multidisciplinary teams, and timely transfer to intensive care units form core principles of management for these patients. Global inequity in access to standard and affordable emergency surgeries is an area of concern requiring integrated efforts at international level. How to cite this article: Ahmed A, Azim A. Emergency Laparotomies: Causes, Pathophysiology, and Outcomes. Indian J Crit Care Med 2020;24(Suppl 4):S183–S189. Jaypee Brothers Medical Publishers 2020-09 /pmc/articles/PMC7724938/ /pubmed/33354039 http://dx.doi.org/10.5005/jp-journals-10071-23612 Text en Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd. © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Invited Review Ahmed, Armin Azim, Afzal Emergency Laparotomies: Causes, Pathophysiology, and Outcomes |
title | Emergency Laparotomies: Causes, Pathophysiology, and Outcomes |
title_full | Emergency Laparotomies: Causes, Pathophysiology, and Outcomes |
title_fullStr | Emergency Laparotomies: Causes, Pathophysiology, and Outcomes |
title_full_unstemmed | Emergency Laparotomies: Causes, Pathophysiology, and Outcomes |
title_short | Emergency Laparotomies: Causes, Pathophysiology, and Outcomes |
title_sort | emergency laparotomies: causes, pathophysiology, and outcomes |
topic | Invited Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724938/ https://www.ncbi.nlm.nih.gov/pubmed/33354039 http://dx.doi.org/10.5005/jp-journals-10071-23612 |
work_keys_str_mv | AT ahmedarmin emergencylaparotomiescausespathophysiologyandoutcomes AT azimafzal emergencylaparotomiescausespathophysiologyandoutcomes |