Incidence of Surgical Emergencies – A Hospital Based Study in Ranga Reddy District of Telangana

Incidence of Surgical Emergencies

Abstract

Background: Surgical emergencies are unique group of cases which require quick decisions and these decisions have significant effect on outcome. Most of these surgeries performed in emergency situations where the value of the exhaustive investigations has to be balanced against any deterioration which may occur in patient's general condition due to inevitable delay. Objective: The objective of this study was to identify the spectrum of surgical emergencies and their outcome. Design: This was a hospital based prospective analysis of surgical emergencies presented to Unit I and V of General Surgery Department, Bhaskar General Hospital. Duration: Surgical emergencies over a period of three years from 2015 to 2017 were analyzed to identify the spectrum of surgical emergencies and their outcome. Setting: Department of Pediatrics, Bhaskar Medical College, Yenkapally, Moinabad, Ranga Reddy District, Telangana, India. Participants: A total of 2372 patients who underwent emergency surgery in Unit I and  Unit V of General Surgery Department, Bhaskar General Hospital. Subjects and Methods: A retrospective analysis of the reports of all the patients who were operated upon was performed to assess the spectrum of surgical emergencies and their outcome. Data was tabulated using MS Excel and statistical analysis was performed using appropriate statistical software. Results: Among Non-trauma cases, 51.24% (472) were Appendicitis (i.e., 19.95% of total cases), 34.90% (322) were of Intestinal obstruction, 12.03% (114) were hollowviscus perforations and others include 0.71% (56) of  cases . Most of the surgeries were performed under spinal anaesthesia. A few cases were performed under General anaesthesia. Among trauma cases, 85.16% (1234) of them were minor injuries that required conservative management or minor surgeries & 14.84% (215) of them were managed with major surgery. Conclusion: Among non-trauma cases, most of the cases were of intestinal obstruction and most of the surgeries were performed under spinal anaesthesia. Among trauma cases, most of them were minor injuries that required conservative management or minor surgeries and few of them were managed with major surgery.