Findings of Exploration Laparotomy: Abdominal Tumors. Reported Experience
Keywords:Acute abdomen, exploratory laparotomy, Oncological disease, Carcinomatosis
Emergency surgery is a diagnostic-therapeutic challenge in patients with acute abdomen. Exploratory Laparotomy is defined: "invasive surgical procedure, which seeks to explore the abdominal cavity, for diagnostic and/or therapeutic purposes, thus offering the opportunity to provide rapid and timely treatment to the patient." Objective: to describe the experience of exploratory laparotomies in patients with acute abdomen, and where the unexpected diagnostic finding was abdominal tumors. Patients and Methods: the study had a longitudinal, retrospective, observational and descriptive design. The records of all patients surgically treated for clinically expressed acute abdomen with the support of laboratories and cabinet, in a second level medical care hospital, are reviewed. Results: the patients who underwent emergency exploratory laparotomy 1,277 surgeries in 5 years, of which a total of 135 patients were included. Surgical complications due to the initial etiology of the oncological disease with respect to being locally advanced and/or extremely metastatic (carcinomatosis). Morbidity is 23% and mortality reaches 13%. Discussion: acute abdomen due to oncological etiology is real and it is necessary to avoid nihilism both by the surgeon and the patient, which does exist and should be considered as a possibility. The most common surgical emergency: gastrointestinal obstruction (43%), intra-abdominal inflammatory complications (33%) and bleeding (17%). Conclusions: individualizing the patient according to: the surgical urgency, the oncological pathology, the general conditions of the patient, the infrastructure and the competence of the surgeon; forming a strategy maximizing survival, quality of life and prognosis for each patient.
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Copyright (c) 2023 Jennifer Itzel Jacobo Godínez, Morelos Adolfo García Sánchez, Mireya De La Fuente González, Elizabeth Xitlali Jacobo Godínez, Armando Hans Torres Norman, Fabian Cazares Longines, Astrid Ortiz Vargas, Baruj Ricardo Lupio García, Mariana González Valiente, Julio Geovany Flores Hernández, Carol Atzimba Zepeda Carrillo
This work is licensed under a Creative Commons Attribution 4.0 International License.