A STUDY ON POSTOPERATIVE COMPLICATIONS AFTER ABDOMINAL SURGERY IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
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Keywords
Chronic obstructive pulmonary disease, abdominal surgery, postoperative complications
Abstract
Aim: The objective of the current study was to investigate postoperative complications following abdominal surgery in COPD patients.
Patients and Methods: A retrospective study investigated 118 patients who underwent abdominal surgery out of which 46 patients had COPD in the Department of General Surgery and Gastroenterology of Tertiary Care Hospital, Lahore from January 2023 to December 2023. The severity of COPD was defined based on forced expiratory volume (FEV); Severe (FEV1<50%); Moderate (FEV1 50-79%), and Mild (FEV1 >80% of predicted). Each patient is subjected to medical history, physical examination, forced expiratory volume, Chest X-rays, and arterial blood gases. SPSS version 26 was used for descriptive statistics.
Results: The overall mean age was 62.14±8.52 years. Out of 46 COPD patients, there were 28 (60.9%) male and 18 (39.1%) females. The incidence of mild, moderate, and severe COPD was 6 (13%), 26 (56.5%), and 14 (30.4%), respectively. Laparotomy or laparoscopy was the most prevalent intervention performed in COPD followed by Cholecystectomy, Colectomy, Small-bowel resection, Gastrectomy, Ileostomy, Appendectomy, Pancreatic resection, and Low anterior resection. The prevalence of postoperative pulmonary and cardiac complications was 19.6% and 26.1%, respectively.
Conclusion: COPD Patients showed an increased incidence of pulmonary and cardiac complications. Complications were particularly high in proximal surgical sites such as the upper abdomen.
References
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Noor Fatima
Department of Medical Education, Rashid Latif Khan University and Medical College, Lahore, Pakistan
Amna Mumtaz
Medical Officer, Institute of Cardiology, DG Khan, Pakistan
Maria Shaikh
Medical Officer, General Surgery, Jinnah Postgraduate Medical Center, Karachi, Pakistan
Muhammad Faheem Anwer
Associate professor, Department of Surgery, CMH Lahore Medical College, Lahore, Pakistan
Akashnath Kivalur Ganeshanath
Royal College of Surgeons Ireland
Bushra Safeer
Department of Medicine, Saidu Teaching Hospital, Swat, Pakistan
Hosam Alazazzi
Royal College of Surgeons in Ireland - Bahrain
Kamel J. K. Walwil
Royal College of Surgeons in Ireland - Bahrain
Jumana Abdelrahman Diab
Royal College of Surgeons in Ireland - Bahrain