Current trends in emergency abdominal surgery in the Russian Federation

Revishvili A.Sh.; Sazhin V.P.; Olovyanniy V.E.; Zakharova M.A.

doi:https://doi.org/10.17116/hirurgia20200716

Revishvili A.Sh.

Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of Russia

ORCID: 0000-0003-1791-9163

Sazhin V.P.

Vishnevsky National Medical Research Center of Surgery;
Pavlov Ryazan State Medical University

ORCID: 0000-0001-9452-1656

Olovyanniy V.E.

Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of Russia

ORCID: 0000-0001-9670-3429

Zakharova M.A.

Chaika Clinics

ORCID: 0000-0003-3299-4743

Current trends in emergency abdominal surgery in the Russian Federation

Authors:

Revishvili A.Sh., Sazhin V.P., Olovyanniy V.E., Zakharova M.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(7): 6‑11

DOI: 10.17116/hirurgia20200716

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To cite this article:

Revishvili ASh, Sazhin VP, Olovyanniy VE, Zakharova MA. Current trends in emergency abdominal surgery in the Russian Federation. Pirogov Russian Journal of Surgery. 2020;(7):6‑11. (In Russ.)
https://doi.org/10.17116/hirurgia20200716

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To analyze morbidity and factors affecting mortality in emergency abdominal surgery in the Russian Federation.

MATERIAL AND METHODS

The study included patients with acute abdominal diseases aged 18 years and older. All patients were hospitalized in emergency surgical care departments of 3.194 state healthcare institutions in 84 regions of the Russian Federation in 2018. Morbidity, surgical activity and mortality were analyzed.

RESULTS

There were 680.337 cases of hospitalization in emergency surgical department, morbidity rate was 582 cases per 100 000. The most common emergency surgical diseases were acute appendicitis (142.3 cases per 100 000), acute cholecystitis (139.0 cases per 100 000) and acute pancreatitis (131.2 cases per 100 000). Surgery was performed in 399.051 (58.7%) patients. In-hospital mortality rate was 2.4% (16 051 cases).

CONCLUSION

There are certain factors affecting mortality rate in acute abdominal diseases. The leading problems in organizing emergency surgical care in Russia are insufficient equipment of rural and small municipal surgical hospitals, different staffing with surgeons in rural areas and large cities and late hospitalization of patients.

Keywords:

morbidity

acute abdominal diseases

emergency surgical care

lethality

Authors:

Revishvili A.Sh.

Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of Russia

ORCID: 0000-0003-1791-9163

Sazhin V.P.

Vishnevsky National Medical Research Center of Surgery;
Pavlov Ryazan State Medical University

ORCID: 0000-0001-9452-1656

Olovyanniy V.E.

Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of Russia

ORCID: 0000-0001-9670-3429

Zakharova M.A.

Chaika Clinics

ORCID: 0000-0003-3299-4743

Received:

06.02.2020

Accepted:

10.03.2020

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References:

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