The Kitakanto Medical Journal
Online ISSN : 1881-1191
Print ISSN : 1343-2826
ISSN-L : 1343-2826
ORIGINALS
Clinical Evaluation of Surgical Emergency Diseases:
Current Status of Emergency Surgery by Surgeons
Chika KatayamaKeigo HaraToshihide KatoKenji NakazatoYoshinori ShitaraMasatoshi IshizakiKen Shirabe
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JOURNAL FREE ACCESS

2022 Volume 72 Issue 2 Pages 141-145

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Abstract

Background and Aim: Surgical emergencies comprise a wide range of illnesses, including acute abdomen, and affect a wide range of age groups. These cases require, emergency attention, including emergency surgery, even when medical resources are limited.

Methods: We retrospectively investigated 144 surgical emergencies in our department from March 1, 2020, to March 31, 2021.

Results: Appendicitis (66 cases) and cholecystitis (23 cases) were common among patients who underwent emergency surgery; their ages ranged from 6-96 years, with those in their 80s accounting for 22% of the total number of cases. Fourteen patients in their 60s and 80s were taking antithrombotic drugs. There were no perioperative deaths. About 10 emergency surgeries are performed monthly, with more surgeries on Mondays and Fridays of the week. More than half of the cases on Mondays were direct visits or ambulance admissions. Most of the cases on Fridays were referred from other hospitals.

Conclusions: We reported emergency surgeries safely performed in the elderly and patients taking antithrombotic drugs. This indicated the need for appropriate treatment including emergency surgery according to each case.

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© © 2022, The Kitakanto Medical Society
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