Perioperative pathway significantly reduces complications in emergency laparotomy patients
The implementation of the Emergency Laparotomy Audit (EMLA) perioperative care bundle resulted in notable improvements in patient outcomes for emergency laparotomy procedures. Surgical complications decreased from 34.8% to 20.6%. The study encompassed a cohort of 429 patients, divided into pre- and post-intervention groups, assessing length of stay, hospitalization costs, and adherence to protocols. The findings emphasize the potential benefits of structured interventions in reducing morbidity and enhancing recovery in high-risk surgical patients.
Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.
Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).
Appendix, Gallbladder and Surgical Emergencies3 Nov 2026