ROLE OF PREOPERATIVE SERUM ALBUMIN LEVEL IN POST-OPERATIVE OUTCOME FOLLOWING EMERGENCY EXPLORATORY LAPAROTOMY
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 5425-5431
Abstract
Objective: To study occurrence of major post-operative outcomes like surgical site infection,wound dehiscence and anastomotic leak in patients with hypoalbuminemia and normal serum albumin level.Materials and Methods: Hundred patients who underwent emergency exploratory laparotomy in the Department of Surgery, Krishna Institute of Medical Science Karad from January 2021
to June 2022 were taken for this study and preoperative albumin level was checked.Complications occurring post-operatively were noted
Results: Of the 100 patients who underwent emergency laparotomy, hypoalbuminemia was seen in 85% of patients,while 15% had normal albumin level. Total 60 patients had post-operative complications. Percentage of complication in patients with hypoalbuminemia was 65.88%, while it was 26.87% in patients with normal albumin level. Hypoalbuminemia had positive correlation with adverse post operative outcome following emergency laparotomy.
Conclusion: It can be concluded from the study that serum albumin is an effective and simple marker for predicting post-operative outcome in patients undergoing emergency laparotomy.
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