الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 185 |  |  |
| | | from | 185 | | |
Abstract
Emergency laparotomies form a broad group of time-sensitive surgeries done on
variable patient population. Broadly, they can be divided into trauma and non-trauma
laparotomies. Average mortality rate after emergency laparotomies ranges from 10% to 18%
in different studies which is much higher than elective surgeries. There is significant global
inequity among different countries in terms of access to standard emergency surgical
facilities, with lower income countries sharing the highest burden of surgical mortalities.
Regular perioperative care pathways have been used to enhance outcome of these
surgeries in many high-income countries. As these countries already have separate welldeveloped trauma care network, only non-trauma laparotomies (acute abdomen) are included
in their audits and care pathways for emergency laparotomies. Elective surgery patient care
pathways like enhanced recovery after surgery (ERAS) has caused significant reduction in
morbidity and length of stay for elective surgery patients, but such well-defined evidencebased pathways are still evolving in the field of emergency laparotomy.