Malatya State Hospital General Surgery Emergency profile: Malatya Devlet Hastanesi Genel Cerrahi Acil Profili

Murat Kanlıöz; Uğur Ekici; Faik Tatlı; Turgay Karataş; Arif Emre

doi:10.5152/EurJTher.2016.008

Authors

Murat Kanlıöz General Surgery Service, Malatya State Hospital, Malatya
Uğur Ekici General Surgery Service, Malatya State Hospital, Malatya
Faik Tatlı Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa
Turgay Karataş General Surgery Service, Malatya State Hospital, Malatya
Arif Emre Department of General Surgery, Faculty of Medicine, Sutcu Imam University, Kahramanmaras

DOI:

https://doi.org/10.5152/EurJTher.2016.008

Keywords:

Traumatic acute abdomen, nontraumatic acute abdomen, negative laparotomy

Abstract

Introduction: The purpose of this study was to answer the question how we can improve the quality of emergency surgical services in our hospital.
Materials and Methods: April 2011-March 2014 period, 373 patients who admitted to the Malatya State Hospital 1. General Surgery Department’s seizure and under went emergency surgery files and computer records were retrospectively evaluated. Gender, age, medical history, examinations, preoperative diagnosis, operative notes and intraoperative diagnosis were recorded.
Results: 373 patients who had been emergency surgery were enrolled in this study. 168 patients (45%) were women, 205 (55%) were male. The mean age is 30.84 years (SD= 15.009). 353 patients (94.63%) were operated on due to nontraumatic acute abdomen, while 20 (5.36%) patients were operated on because of the traumatic acute abdomen. It was done 16 (4.53%) negative laparotomy (NL) and 8 (2.26%) non-therapeutic laparotomy (NTL) in nontraumatic group, while it was done 6 (30%) NL and 0 NTL in the traumatic group.
Conclusion: We believe that the diagnostic methods and facilities should be usable at the hospital, in addition to the attention of the surgeon for reducing morbidity and mortality, because of NL and NTL. In our study, while the most frequent nontraumatic emergency general surgery intervention reason was acutes appendicitis, the most frequent traumatic emergency general surgery intervention reason was liver injury.

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