Publication: Retrospective analysis of abdominal surgeries at Nepalgunj Medical College (NGMC), Nepalgunj, Nepal: 2 year’s experience
Date
2004
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Background: Abdominal surgeries are the commonest major operations that are performed in the department of
surgery. Aim: To find out the different causes of emergency and elective abdominal surgeries at Nepalgunj Medical
College Teaching Hospital (NGMCTH) Nepalgunj, Nepal. Material and method: This is a retrospective study
conducted in the department of surgery at NGMCTH Nepalgunj, Nepal, over a period of 2 years (2001-2003). The
patients included in this study were drawn from Banke, Bardiya, Kailali, Kanchanpur, Surkhet, Dang, Dailake, and
Tikapur. They belong to both sexes and different age groups. All the records of these patients under went
laparotomy for elective as well as emergency conditions were included in this study. The data were analyzed;
tabulated and following results were obtained. Results: The commonest cause of emergency laparotomies were
peritonitis (peptic ulcer, enteric and appendicular perforations) whereas, the commonest cause of elective
laparotomies were chronic cholecystitis with cholelithiasis followed by chronic appendicitis and pyloric obstruction.
Conclusion: Over all, cholecystectomy for cholecystitis with cholelithiasis was the commonest operation, which
was done in last two years. This disease may be because of excessive use of saturated animal fat and vegetable oil.
Peritonitis was the 2 nd commonest cause of abdominal surgery. Among the causes of peritonitis, peptic ulcer
perforations were the frequent followed by enteric and appendicular perforations. Appendicitis was the 3rd
commonest cause of abdominal surgery. Nepal, being a Hindu country, people consume excessive amount of meat,
and possibly due to this, the disease of the appendix was very high as compared to other Asian countries where
people live on bulk cellulose diet.
Key words: Abdominal surgery, Emergency laparotomy, Elective laparotomy, Peritonitis, Intestinal obstruction,
Appendicitis.