Morbidity and Mortality in Rectal Surgery: A Study of 25 Cases
Abstract
Rectal surgery is the only potentially curative treatment for many rectal pathologies, whether benign or malignant. However, post-operative complications can significantly impact the prognosis of patients. This retrospective study aimed to investigate morbidity and mortality among patients undergoing rectal cancer surgery over a two-year period at the Department of Digestive Cancer Surgery and Hepatic Transplantation of Ibn Rochd University Hospital (CHU) in Casablanca.". Among 62 patients, the average age was 61.98 years, with a female-to-male ratio of 1.5. Overall morbidity and mortality rates were 40.3% and 12%, respectively. Post-operative complications primarily included surgical site infections (40%) and urinary infections (20%), while long-term complications comprised incisional hernias (20%) and sexual problems (8%). The primary cause of mortality was intraoperative hemorrhage (8%). Factors influencing morbidity and mortality included age, BMI, comorbidities, type of intervention, and the benign or malignant nature of the pathology. Therefore, prevention involves preoperative identification of high-risk patients and enhanced perioperative care through multidisciplinary collaboration.
Downloads
Metrics
References
2. Anne-Laure Raphoz; Analyse de la morbi-mortalité dans un service de chirurgie digestive générale: étude prospective sur 6 mois.
3. Arnaud Alves, MD, PhD; Yves Panis, MD, PhD; Pierre Mathieu, MD; Georges Mantion, MD; Fabrice Kwiatkowski, MD; Karem Slim, MD; for the Association Française de Chirurgie
4. Konaté, I., Sridi, A., Ba, P. A., Cissé, M., Gaye, M., Ka, I., ... & Touré, C. T. (2012). Étude descriptive des cancers colorectaux à la clinique chirurgicale du CHU Aristide Le Dantec de Dakar. Journal africain du cancer/African Journal of Cancer, 1-5.
5. Faisal, M., Schäfer, C. N., Myrelid, P., Winberg, M. E., Söderholm, J. D., Keita, Å. V., & Eintrei, C. (2021).Effects of analgesic and surgical modality on immune response in colorectal cancer surgery. Surgical Oncology, 38, 101602.
6. Verdin, V., Weerts, J., Francart, D., Jehaes, C., Magis, D., Magotteaux, P., ... & Markiewicz, S. (2017).
Copyright (c) 2024 Amal Hajri, Mohamed Belbsir, Anas Elwassi, Driss Erguibi, Rachid Boufettal, Saad Rifki Jai, Farid Chehab
This work is licensed under a Creative Commons Attribution 4.0 International License.