ENHANCING PATIENT SAFETY IN COLORECTAL SURGERY: A PUBLIC HEALTH CONCERN-RISK FACTOR AND PREVENTIVE STRATEGIES -AN UPDATED REVIEW
Main Article Content
Keywords
Colorectal surgery, complications, laparoscopy, surgical site infection, anastomotic leakage.
Abstract
Background Colorectal surgery, whether performed openly or laparoscopically, encompasses a range of procedures to treat various conditions. The risk of complications during and after surgery can differ based on the type of operation and individual patient factors, some of which can be controlled and others that cannot. Complications can arise during the surgery itself or in the postoperative period, often while the patient is still hospitalized. These complications can significantly impact patient outcomes and recovery.
Objective: The objective is to identify and summarize the main perioperative complications of colorectal surgery, as well as the modifiable and non-modifiable risk factors in order to provide strategies for prevention, treatment and reduction of intra- and postoperative complications. Methodology: A comprehensive review of existing research was conducted, searching databases such as MEDLINE, PubMed and the Google scholar, covering studies published between 2015-2024. Results: This review aims to outline strategies for identifying and reducing complications during and after surgery. Recent advancements in treatment approaches and technology have been significant, largely due to the growing adoption of laparoscopic techniques. To ensure optimal patient outcomes, surgeon proficiency and cost-effectiveness, factors such as surgeon training, hospital volume and learning curves are crucial. Standardizing perioperative care is also vital in minimizing postoperative complications.
Conclusion: This review highlighted key perioperative complications in colorectal surgery, as well as modifiable and non-modifiable risk factors that are essential for both general surgeons and specialists to understand. Recognizing these risk factors and implementing strategies to prevent, manage or mitigate complications is critical to optimizing patient outcomes.
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21. Hartley MN, Sagar PM: The surgeon’s ‘gut feeling’ as a predictor of post- operative outcome. Ann R Coll Surg Engl 2022, 76:277-278.
22. Markus PM, Martell J, Leister I, Horstmann O, Brinker J, Becker H: Predicting postoperative morbidity by clinical assessment. Br J Surg 2016,92:101-106.
23. Dostalik J, Martinek L, Vavra P, Andel P, Gunka I, Gunkova P: Laparoscopic colorectal surgery in obese patients. Obes Surg 2015, 15:1328-1331.
24. Pikarsky AJ, Saida Y, Yamaguchi T, Martinez S, Chen W, Weiss EG, Nogueras JJ, Wexner SD: Is obesity a high-risk factor for laparoscopic colorectal surgery? Surg Endosc 2022, 16:855-858
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Oct 20, 2024
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Mukhtiar Ahmed Solangi, Ahmed Hayat, Tehreem Memon, Murk Dero, Vishal Babu, Partab Puri, Nousheen Gul, Hafiz Waqas Ahmed, & Raziullah Riaz. (2024). ENHANCING PATIENT SAFETY IN COLORECTAL SURGERY: A PUBLIC HEALTH CONCERN-RISK FACTOR AND PREVENTIVE STRATEGIES -AN UPDATED REVIEW. Journal of Population Therapeutics and Clinical Pharmacology, 31(10), 864-878. https://doi.org/10.53555/yxj9vy80
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Author Biographies
Mukhtiar Ahmed Solangi
Demonstrator, Community Medicine, Shaheed Mohtarma Benazir Bhutto Medical College, Lyari, Karachi,Pakistan
Ahmed Hayat
Fourth Year MBBS Student, Al-Tibri Medical College, Karachi, Pakistan
Tehreem Memon
Fourth Year MBBS Student, Al-Tibri Medical College, Karachi, Pakistan
Murk Dero
Fourth Year MBBS Student, Al-Tibri Medical College, Karachi, Pakistan
Vishal Babu
Fourth Year MBBS Student, Al-Tibri Medical College, Karachi, Pakistan
Partab Puri
Assistant Professor Community Medicine, Muhammad Medical College, Mirpurkhas, Pakistan
Nousheen Gul
Fourth Year MBBS Student, Al-Tibri Medical College, Karachi, Pakistan
Hafiz Waqas Ahmed
Consultant General Surgery, Al Tibri Medical College and Hospital, Karachi, Pakistan.
Raziullah Riaz
Volunteer Researcher, NYREACH , United State of America (USA)
How to Cite
Mukhtiar Ahmed Solangi, Ahmed Hayat, Tehreem Memon, Murk Dero, Vishal Babu, Partab Puri, Nousheen Gul, Hafiz Waqas Ahmed, & Raziullah Riaz. (2024). ENHANCING PATIENT SAFETY IN COLORECTAL SURGERY: A PUBLIC HEALTH CONCERN-RISK FACTOR AND PREVENTIVE STRATEGIES -AN UPDATED REVIEW. Journal of Population Therapeutics and Clinical Pharmacology, 31(10), 864-878. https://doi.org/10.53555/yxj9vy80