Abdominal re-operations (Record no. 28000)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03552nam a22003377a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20240607213713.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | 20240607213713.0 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240607214308.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240607b |||||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | eISSN: 1821-9241 |
| International Standard Serial Number | print ISSN: 1821-6404 |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Fuller form of name | Raphael Mwita |
| 245 ## - TITLE STATEMENT | |
| Title | Abdominal re-operations |
| Remainder of title | indications, early surgical outcomes and prognostic factors at Bugando Medical |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania : |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS-Bugando] : |
| Date of publication, distribution, etc. | 2023 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | Pages 321–333. |
| Extent | Includes References |
| 490 ## - SERIES STATEMENT | |
| Volume/sequential designation | Tanzania Journal of Health Research, 24(4), |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Abdominal re-operation is any repeated operation for an intra-abdominal procedure or wound complication on index admission or on a subsequent admission to the hospital within a post-operative period of sixty days. It is usually performed in case of post-operative complications either as a re-laparotomy, stoma or wound complications depending on the initial type of surgery. Incidence of abdominal re-operation differs according to the hospital’s settings, patient’s baseline clinical condition and type of primary abdominal surgery. Despite the increased number of surgical re-admissions, and post-operative complications, there is still a paucity of data describing burden, indications, outcomes and prognostic factors of abdominal re-operations at Bugando Medical Centre (BMC). This study was conducted to determine indications, early surgical outcomes and prognostic factors for abdominal re-operations at BMC.<br/><br/><br/>Methods: This was an analytical cross-sectional study that was conducted at BMC from May 2017 to May 2018. Data were entered into a Microsoft Excel sheet and statistical analysis was done using STATA version 15.<br/><br/><br/>Results: A total of 104 patients were enrolled, of whom 41(39.4%) were males and 63(60.6%) were females, giving a male-to-female ratio of 1: 1.5. Their ages at diagnosis ranged from 1 day to 76 years with a median age of 29 [IQR 17 – 46] years. The most common indications for abdominal re-operation were peritonitis 45 (43.3%), burst abdomen 29 (28.0%) and anastomotic leak 18 (17.3%). Stoma complications 7 (6.7%), haemorrhage 4 (3.9%) and post-operative paralytic ileus 1 (1.0%) were also recorded indications but at a lesser frequency. The mortality rate following abdominal re-operation was 28.9% (n=30). Older age and increasing number of abdominal re-operations were the main independent predictors of mortality following abdominal re-operations (p < 0.001).<br/><br/><br/>Conclusion: Abdominal re-operation is associated with high mortality. The most common indications for abdominal re-operation were peritonitis, burst abdomen and anastomotic leak. Predictors of mortality were older age and an increasing number of abdominal re-operations. Hence it is recommended that patients with peritonitis, burst abdomen or anastomotic leak be managed in a timely and well-planned manner to minimize the number of unnecessary re-operations which may increase the risk for mortality. |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Abdominal re-operations |
| General subdivision | indications, outcomes |
| General subdivision | prognostic factors |
| General subdivision | Tanzania |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Geofrey Giiti |
| Fuller form of name | Vihar Kotecha |
| Fuller form of name | Phillipo L. Chalya |
| Fuller form of name | William Mahalu |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://doi.org/10.4314/thrb.v24i4.">https://doi.org/10.4314/thrb.v24i4.</a> |
| Link text | https://doi.org/10.4314/thrb.v24i4. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | RESEARCH ARTICLES |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 06/07/2024 | 20240607213713.0 | 06/07/2024 | 06/07/2024 | RESEARCH ARTICLES |