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Comparison Of Early Postoperative Complications Of Laparotomies In Diabetics And Non-Diabetics - A Study On South Indian Population

*, A R and shetty, sunil kumar and Rai, S and Bhat, R and Rao, S and Thejeswi, Poorna Chandra and *, P and *, S R HS (2013) Comparison Of Early Postoperative Complications Of Laparotomies In Diabetics And Non-Diabetics - A Study On South Indian Population. The Internet Journal of Surgery, 30 (4). pp. 1-17.

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Abstract

Diabetics undergoing surgery suffer an increased risk of peri-operative complications. Higher rate of infection, delayed wound healing, ischemic complications, autonomic neuropathy, difficulties in controlling glycemic levels and longer hospital stay burden the outcome of surgery. Yet a detailed study to look for the incidence of complications, its relation to glycemic levels and type of surgery was lacking especially in an Indian setup. In this study we and type of surgery was lacking especially in an Indian setup. In this study we have tried to access the effect of hyperglycaemia on post-operative complications of laparotomies in diabetic patients. A comparison with nondiabetic patients regarding the complications was drawn. Aims: To study the effect of hyperglycaemia on post-operative complications of laparotomies in diabetic patients, and correlate it with glycemic control. Methods and Material: All patients undergoing laparotomies were studied. A detailed history and laboratory data were obtained at presentation. Patients were followed through their hospital stay for glucose level and postoperative complications. Statistical analysis was done and results were compared between cases and controls. SPSS 13 was used for statistical analysis. Results: Diabetics had more complications, with electrolyte imbalance being the most common (28% v/s 14.4%); prolonged ileus (39.8% v/s 21.1%), wound infection (31.4% v/s 22%), wound dehiscence (7.6% v/s 1.9%), anastomotic leak (3.4% v/s 1.9%), lower respiratory tract infection (22% v/s 7.9%), and urinary complications (17.8% v/s 6.8%) were more frequent in diabetics, mortality also was higher in them (8.5% v/s 3.3%). Conclusions: This study portrays that the incidence of complications and mortality following surgery are augmented when associated with diabetes. Clinicians are encouraged to continue to give careful attention to peri-operative glycemic control in surgical patients with diabetes. Further studies are needed for formulating the guidelines in this area.

Item Type: Article
Uncontrolled Keywords: complications after laparotomy, diabetes, early postoperative complications
Subjects: Medicine > KMC Mangalore > Paediatrics
Medicine > KMC Mangalore > Surgery
Depositing User: KMCMLR User
Date Deposited: 14 Oct 2013 05:03
Last Modified: 14 Oct 2013 05:03
URI: http://eprints.manipal.edu/id/eprint/137471

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