A Comparison of the most common complications after different general surgical procedures for diabetic and non-diabetic patients in Jordanian military sector hospitals

Abstract EN

Objective : to assess the influence of high blood sugar on complications after different general surgical procedures in Jordanian diabetic patients.

methods : this retrospective investigation included adult patients of both genders who were assigned for different elective and emergency general surgical procedures for different conditions.

they were patients of prince Jashim hospital, Zarqa, Jordan, during the period Oct 2015-sep 2016 and king Hussein hospital, king Hussein medical center, Amman, Jordan, during the period Sep 2016-sep 2017.blood sugar levels were obtained for all participants on admission and for 7 days after surgery.

in addition the following complications were investigated: hypoglycemia, wound infection, urinary tract infection, post-operative ileus, electrolyte disorders, diabetic ketoacidosis and pulmonary complications.

student’s t-test was used for comparison between groups, while the chi-square test was used for comparisons between proportions.

a p-value < 0.05 was considered statistically significant.

results : diabetic patients experienced more hazards after surgery than non-diabetic patients.

the most frequent hazard was lengthened ileus (42.9%) in GI and wound infection (24.1%) in g ii.

the second most frequent hazard was wound infection (34.3%) in GI and lengthened ileus (22.2%) in GII.

the third most frequent hazard was electrolyte disorders both in GI (31.4%) and in GII (14.8%).

conclusions : the frequency of postoperative hazards is increased in diabetics.

Peri-surgical blood sugar control in surgical diabetic patients is crucial.