A PROSPECTIVE STUDY OF FACTORS AFFECTING POST OPERATIVE MORBIDITY AND MORTALITY FOLLOWING ABDOMINAL SURGERY IN ELDERLY

DR.RAJAN DAGLA; DR PUNEET KUMAR

Volume : VIII, Issue : I, January - 2018

A PROSPECTIVE STUDY OF FACTORS AFFECTING POST OPERATIVE MORBIDITY AND MORTALITY FOLLOWING ABDOMINAL SURGERY IN ELDERLY

Dr. Rajan Dagla, Dr Puneet Kumar

Abstract :

The term ‘ageing’ is related to word ‘senescence’ although term aging commonly used to refer post maturational process that are deteriorative and lead to increased vulnerability.

However, a set of common characteristics of ageing can be identified in mammals.There are many theories of ageing, currently one theory with much emphasis is “oxidative stress model”. In this hypothesis , oxygen derived free radicals formation with in the cells causes protein damage by oxidation and the pool of damaged enzymes progressively increase in size with increased age.

The ageing process affects all organ systems, with varying functional sequelae that can negatively impact upon the elderly patient to surgical stress. It is important to recognize the physiological changes that occur in heart, lungs, kidneys, ain and GIT with ageing that produce no functional impairment under non stressful conditions. However, with increased stress in the elderly patients response to demand is greatly impaired owning to diminished reserve capacity.

AIMS and OBJECTIVES

To Study the commonest complications that contributes to the morbidity and mortality after abdominal surgery in elderly.

To consider preventive measures that can be adopted to minimize morbidity and mortality in elderly.

MATERIALS and METHODS

This study was conducted in department of surgery at P.B.M. Hospital attached to Sardar Patel Medical College, Bikaner. All the cases were above 60yrs who underwent elective and emergency abdominal surgery between 1 Jan 2005 to 31 Dec 2005 were studied. Elective operations were performed on 56 patients and 54 patients had emergency procedure.

Summary and conclusion

Co–morbid illness, ASA grading, diagnosis, emergency procedure, duration of operation and late recovery after operation are common factors leading to increased mortality and morbidity after abdominal surgery in elderly.

age, sex, nature of surgery does not influence morbidity and mortality in elderly.