Observational study on early pulmonary complications following emergency abdominal surgeries in a tertiary care hospital in West Bengal

Authors

  • Anirban Hazra Senior Resident, Department of General Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India https://orcid.org/0009-0007-1344-6422
  • Yogesh Chauhan Senior Resident, Department of General Surgery, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India https://orcid.org/0009-0000-0039-1118
  • Premangshu Ghosh Assistant Professor, Department of Pathology, ESI- PGIMSR Medical College and Hospital and ODC (EZ) Joka, Kolkata, West Bengal, India https://orcid.org/0009-0008-6273-2932
  • Riddhisundar Samanta Clinical Tutor, Department of General Surgery, Deben Mahata Govt Medical College and Hospital, Purulia, West Bengal, India https://orcid.org/0000-0002-4624-4233
  • Mohan Pradhan Senior Resident, Department of General Surgery, Deben Mahata Govt Medical College and Hospital, Purulia, West Bengal, India https://orcid.org/0009-0006-0870-9403
  • Subhabrata Das Professor, Department of General Surgery, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India

Keywords:

Post-operative complications; Emergency abdominal surgery; Risk factors and management of PPC

Abstract

Background: Emergency surgeries account for half of all surgical deaths and one-third of all complications. Post-operative outcomes following emergency abdominal surgery are generally worse leading to different serious consequences and post-operative pulmonary complication (PPC) is one of the most common among them (incidence rate: 20–50%). The consequences of developing a PPC are serious with doubled health-care costs, longer hospital stays, and higher mortality rates when compared to elective surgery.

Aims and Objectives: This study was done to estimate the incidence of early post-operative pulmonary complications, the influence of pre-existing pulmonary morbidity and related factors in the development of PPC; and the outcome of management of PPC.

Materials and Methods: In this institution-based observational descriptive study, a total of 122 patients, who presented to the surgery emergency room and underwent emergency abdominal surgery (April 2021–May 2022), were followed up for the development of PPCs. The cure/complication rate after management was also assessed.

Results: In this study incidence of PPC was around 39%, which is similar to the highest reported figures in other studies. Among PPCs most common PPC came out to be atelectasis (58%). Pre-operative pulmonary comorbidity, upper or upper versus lower abdominal incision, duration of operation, indication for operation, and type of anesthesia all influence the risk for PPC in this setting (P<0.05).

Conclusions: The incidence of PPCs in this study is quite high. Pre-existing pulmonary comorbidities, incision sites above the umbilicus, general anesthesia, and prolonged duration of operation all significantly impact the development of PPC.

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Published

2025-03-01

How to Cite

Anirban Hazra, Yogesh Chauhan, Premangshu Ghosh, Riddhisundar Samanta, Mohan Pradhan, & Subhabrata Das. (2025). Observational study on early pulmonary complications following emergency abdominal surgeries in a tertiary care hospital in West Bengal. Asian Journal of Medical Sciences, 16(3), 122–128. Retrieved from https://nepjol.info./index.php/AJMS/article/view/73003

Issue

Vol. 16 No. 3 (2025)

Section

Original Articles

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Copyright (c) 2025 Asian Journal of Medical Sciences

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