surgery-and-ENT-2016_scientifictracks-abstracts

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Volume 6, Issue 6(Suppl) Surgery Curr Res
ISSN: 2161-1076, an open access journal
Page 26
Notes:
Surgery & ENT 2016
November 07-08, 2016
conferenceseries.com
Surgery & ENT November 07-08, 2016 Alicante, Spain
5th International Conference and Exhibition on
Quality of life after damage control laparotomy for trauma
Noman Shahzad, Hasnain Zafar and Amyn Pardhan
Agha Khan University Hospital, Pakistan
Introduction: Though short term survival advantage of damage control laparotomy in management of critically ill trauma patients
is established, there is little known about the long term quality of life of these patients. Facial closure rate after damage control
laparotomy is reported to be 20-70%. Abdominal wall reconstruction in those who failed to achieve facial closure is challenging and
can potentially affect quality of life of these patients.
Method: We conducted retrospective matched cohort study. Adult patients who underwent damage control laparotomy from January
2007 till June 2013 were identified through medical record. Patients who had concomitant disabling brain injury or limb injuries
requiring amputation were excluded. Age, gender and presentation time matched non exposure group of patients who underwent
laparotomy for trauma but no damage control were identified for each damage control laparotomy patient. Quality of life assessment
was done via telephonic interview at least one year after the operation, using Urdu version of EuroQol Group Quality of Life (QOL)
questionnaire EQ5D after permission. Wilcoxon signed rank test was used to compare QOL scores and McNemar test was used to
compare individual parameters of QOL questionnaire. Study was approved by institutional ethical review committee.
Results: Out of 32 patients who underwent damage control laparotomy during study period, 20 fulfilled the selection criteria for
which 20 matched controls were selected. Median age of patients (IQ range) was 33 (26-40) years. Facial closure rate in damage
control laparotomy group was 40% (8/20). One third of those who did not achieve facial closure (4/12) underwent abdominal wall
reconstruction. Self-reported QOL score of damage control laparotomy patients was significantly worse than non-damage control
group (p=0.032). There was no statistically significant difference in two groups regarding individual QOL measures. Significantly
more patients in damage control group were requiring use of abdominal binder and more patients in damage control group had
to either change their job or had limitations in continuing previous job. Our study was not adequately powered to detect factors
responsible for worse QOL in damage control group.
Conclusion: Quality of life of damage control patients is worse than their age and gender matched patients who underwent trauma
laparotomy but not damage control. Adequately powered studies need to be conducted to explore factors responsible for this finding
for potential improvement.
Biography
Noman Shahzad is a General Surgery Resident at The Aga Khan University Hospital (AKUH) Pakistan. He has recently completed his licensure requirement to practice
general surgery in Pakistan. He is also a Member of Royal College of Surgeons of England. He has keen interest in trauma surgery and critical care management and has
published in this field.
Noman Shahzad et al., Surgery Curr Res 2016, 6:6(Suppl)