IP Indian Journal of Immunology and Respiratory Medicine


A study of post operative pleuropulmonary complications of abdominal surgeries attending in a tertiary care hospital at Kakinada


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Author Details: M Kiran*,Sudha Prasuja Nakka,Mohana Pradeepika,Mohana Pradeepika

Volume : 3

Issue : 4

Online ISSN : 2581-4222

Print ISSN : 2581-4214

Article First Page : 217

Article End Page : 222


Abstract

Introduction: Postoperative pulmonary complications (PPCs) following abdominal surgery are frequent and associated with increased morbidity and mortality and hospital length of stay. Incidence rates vary dramatically, ranging from 2% to 40%. The incidence of pleuro-pulmonary complications shows wide variations & has the diversity of various influencing factors, including patient existing lung conditions, habitual history, selection of surgery, anaesthetic risks and post-surgical recovery.
Material and Methods: 100 patients are selected from in & out patient department & causality in GGH, Kakinada attending for abdominal surgical conditions. It is a prospective- observational, cross sectional study.
Results: In the studied group of 100 person’s total of 27 persons affected with pulmonary complications in overlapped manner. Following pulmonary complications observed with incidence rates respectively in the order of ATELECTASIS (74.07%), PLEURAL EFFUSION (62.96%), PNEUMONIA (62.96%), RESPIRATORY FAILURE (11.11%).
Conclusion: The incidence of postoperative pleuropulmonary complications of abdominal surgeries in our study in GGH, Kakinada is 27%, which includes atelecasis as the predominant one (74%) followed by pleural effusion and pneumonia each carrying equal incidence (62.96%) and finally respiratory failure that occupied least. Early prediction of postoperative pulmonary complications is possible to have the early interventions to reduce the post op morbidity, hospital length of stay and cost.

Keywords: Atelectasis, Pleural effusion, Pneumonia, Respiratory failure.

Doi :-https://doi.org/10.18231/2581-4222.2018.0051