A PROSPECTIVE STUDY TO CORRELATE PREOPERATIVE SERUM ALBUMIN LEVELS WITH POSTOPERATIVE OUTCOME IN EMERGENCY ABDOMINAL SURGERIES
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Keywords
Serum albumin, emergency abdominal surgery, hypoalbuminemia
Abstract
BACKGROUND: Abdominal surgery is one of the most common surgeries, with substantial postoperative morbidity and difficulties despite surgical and perioperative advancements in recent decades Preoperative hypoalbuminemia is a well-known risk factor for postoperative complications in patients undergoing emergency abdominal surgery. This study was conducted to examine the association between preoperative hypoalbuminemia and surgical complications encountered in patients undergoing emergency abdominal surgery.
MATERIALS AND METHODS: This prospective observational study was conducted at a tertiary care hospital. A total of 60 patients who underwent emergency abdominal surgery were included. Hypoalbuminemia was diagnosed if serum albumin level was less than 3.5 gm/dl. Preoperatively, 30 patients had hypoalbuminemia (serum albumin <3.5 g/dl) and 30 patients had normal albumin levels (≥3.5 g/dl). Data on serum albumin levels, indications for surgery & postoperative complications were collected and analyzed.
RESULTS: Of the 60 patients studied, 63% were male and 37% were female. Most of the patients belonged to 18-30 years in the present study. The most common indication for emergency abdominal surgery was peptic ulcer perforation (42%), followed by acute intestinal obstruction (30%). patients with Hypoalbuminemia had a higher incidence of complications, including surgical site infections (40%), Wound dehiscence (17%) and longer hospital stays (9.2±5.12) compared to the patients have normal serum albumin.
CONCLUSION: Preoperative albumin is a cost-effective prognostic indicator for postoperative complications following emergency laparotomy.
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Dr. Shifa Zareena
Assistant Professor, Department Of General Surgery, Panimalar Medical College Hospital & Research Institute, Chennai, Tamil Nadu
Dr. Gomathy Thandavamoorthy
Assistant Professor, Department Of General Surgery, Panimalar Medical College Hospital & Research Institute, Chennai, Tamil Nadu
Dr. Jaai Vishnu
Assistant Professor, Department Of General Surgery, Panimalar Medical College Hospital & Research Institute, Chennai, Tamil Nad
Dr. Periasamy Subbiah
Professor & HOD, Department Of General Surgery, Panimalar Medical College Hospital & Research Institute, Chennai, Tamil Nadu