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Emergency Medicine232 papers

Postoperative obstruction of large intestine

Last edited: 4/10/2026

Overview

Emergency laparotomy is a surgical procedure associated with significant postoperative morbidity and mortality 23. Patients undergoing emergency laparotomy often experience a decline in health-related quality of life (QoL) postoperatively 3.

Diagnosis

Management

Special Populations

Key Recommendations

  • Health-related quality of life (QoL) is an important outcome to assess after emergency laparotomy to improve informed consent and surgical care 2.
  • Postoperative QoL after emergency laparotomy can be worse than baseline, with recovery to baseline QoL potentially taking 3 to 12 months 3.
  • There is a need for further research in the systematic development of patient-reported outcomes for use in emergency surgery 2.

    • References

    1 Al-Sarireh H, Al-Sarireh A, Hajibandeh S, Hajibandeh S. Weekend Effect and Mortality After Emergency Laparotomy: A Retrospective Cohort Study With Complimentary Meta-Analysis. ANZ journal of surgery 2025. link 2 Downey CL, Lessing J, Jayne DG. Reporting of health-related quality of life in emergency laparotomy trials: a systematic review and narrative synthesis. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation 2024. link 3 Khanderia E, Aggarwal R, Bouras G, Patel V. Quality of life after emergency laparotomy: a systematic review. BMC surgery 2024. link

    Original source

    1. [1]
      Weekend Effect and Mortality After Emergency Laparotomy: A Retrospective Cohort Study With Complimentary Meta-Analysis. — Al-Sarireh H, Al-Sarireh A, Hajibandeh S, Hajibandeh S ANZ journal of surgery (2025)
    2. [2]
      Reporting of health-related quality of life in emergency laparotomy trials: a systematic review and narrative synthesis. — Downey CL, Lessing J, Jayne DG Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation (2024)
    3. [3]
      Quality of life after emergency laparotomy: a systematic review. — Khanderia E, Aggarwal R, Bouras G, Patel V BMC surgery (2024)
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