Volume : VI, Issue : XI, November - 2017

A Comparative Study of Early Post Operative Cardiovascular Complications in Emergency Laparotomies in Diabetic & Non Diabetic patients.

Balaji Dhaigude, Aditya Ghatnekar, Kshitij Manerikar

Abstract :

 Introduction: The acute surgical abdomen is a clinical entity where, the exact diagnosis can’t be made in time to save the patient‘s life. Earliest possible exploration of acute abdomen is therefore the thumb rule in surgical practice.Hyponatremia and hypokalemia are usual indicators of acute myocardial infarction (MI). Therefore this study was conducted to evaluate the early  cardiovascular complications of patients undergoing emergency laparotomies in both diabetic and non diabetic patients.

Materials and Methods: Prospective study of 60 patients were conducted from October 2016 to September 2017.  Group ‘A‘ consisted of 30 patients with diabetes mellitus and patients with random blood sugar level (BSL) > 200 mg/dl, who underwent emergency lapararotomies whereas, Group ‘B‘ consisted of non–diabetic patients who underwent Emergency Laparotomies. Demographical data of all patients were collected. Laboratory investigations, Cardiology and Radiological Investigations were done.Under general anaesthesia emergency laparotomies were performed. Post–operative BSL charting was done for diabetic patients, as well as for those patients who had random blood sugar more than 200 mg/dl preoperatively. All patients who underwent emergency laparotomies and had cardiovascular complications within first 7 post operative days were considered as subjects of our comparative study.

Results: Forty percent diabetic patients were in age group of 41–60 years, as compared to 30% non–diabetic patients. 6.67% diabetic patients suffered from myocardial infarction as compared to 3.33% non–diabetic patients. Cardiovascular complications were markedly seen between post–operative days 3 to 5 in both the groups.Two diabetic patients suffered from hypokalemia as compared to 1 non diabetic patient.

Conclusion: Experienced and judicious medical and surgical judgment should mandate the surgical treatment in diabetic patients. Decrease in potassium level in early post–operative period is directly related to progression to acute myocardial infarction. Diabetic patients are more prone to go into hypokalemia than non–diabetic patients. 

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Balaji Dhaigude, Aditya Ghatnekar, Kshitij Manerikar, A Comparative Study of Early Post Operative Cardiovascular Complications in Emergency Laparotomies in Diabetic & Non Diabetic patients., INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-6 | Issue-11 | November-2017

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