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2016 Month : October Volume : 5 Issue : 82 Page : 6108-6115A STUDY OF RISK FACTORS INFLUENCING ANASTOMOTIC LEAK FOLLOWING SMALL BOWEL OBSTRUCTION.
M. Ramula1, P. Sankarlingam2, A. Karthik3
Corresponding Author:
Dr. M. Ramula,
A-14, Old G.S.T. Road,
Alagesan Nagar,
Chengalpattu-603001.
E-mail: ramuladurai@gmail.com
ABSTRACT
BACKGROUND
Anastomotic leak is an important cause for postoperative mortality and morbidity in patients who have undergone small bowel anastomosis. The aim of this study to find out significance of various factors influencing anastomotic leak.
MATERIALS AND METHODS
In a total of 68 patients who have undergone bowel anastomosis from Jan 2014 to Jan 2016 were followed up and grouped according to the occurrence into leak and non-leak group. The common factors between these two groups were compared to know the significance of each factors in anastomotic leak.
RESULTS
It has been found that ASA score>III, total protein, anaemia, peritoneal contamination, mean duration of surgery, and post-operative hypotension were significantly associated with anastomotic leak.
CONCLUSION
Adequate attention should be paid to various intraoperative and postoperative factors which influence anastomotic leak, in small bowel obstruction, to keep mortality and morbidity to a minimum.
KEYWORDS
Anastomotic Leak, Small Bowel, Peritoneal Contamination, Bowel Gangrene.