Factors Increasing Risk of Septicemia in Acute Cholycystectomy Patients
Shafqatullah, Samina Karim, Dileep Kumar, Muhammad Aqil Razzaq, Muhammad Hanif, Abdul Rasheed Zai
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ABSTRACT
Background: Septicemia is defined as systematic inflammatory response
syndrome which is formed as a result of an infection.
Objective: To identify the factors increasing risk of septicemia in
acute cholecystectomy patients.
Study
Design: Retrospective study
Place and
Duration of Study: Department
of Surgery, Sahara Medical College, Narowal from
1st August 2020 to 31st May 2021.
Methodology: One hundred and seventy acute cholecystectomy patients were enrolled. The patient’s
demographic, clinical history, comorbidities and post-operative complications
were listed. All procedures were done through laparoscopic method.
Results: There were 54.1% females and 45.9% males. The mean age of
patients was 52.17±14.33 years. There were 11.7% cases who developed
septicemia. The immune deficient patients were 0.9% and 1.8% had perforated
gall bladder. There were 2.7% cases having obesity, cirrhosis or complicated
diabetes with 3.6% having chronic kidney disease.
Conclusion: The factors of complicated diabetes, cirrhosis, obesity
and chronic kidney disease are associated with risk of septicemia in acute
cholecystectomy.
Key words: Cholecystectomy, Septicemia,
Risk factors, Obesity, Chronic kidney disease