Estimation of mortality and morbidity risk in vascular surgery using POSSUM and the Portsmouth predictor equation

Abstract

The POSSUM methodology combined with the P-POSSUM adjustment for death allows satisfactory prediction of mortality and morbidity rates in patients undergoing vascular surgery.

Initial Experience of Laparostomy with Immediate Vacuum Therapy in Patients with Severe Peritonitis

“…23,24 Although the precise mechanism by which negative pressure therapy works remains unclear, many authors believe that by actively removing excess interstitial fluid, the system improves local blood supply, bringing with it the oxygen and nutrients that are essential for effective tissue repair. 17 Studies have shown that vacuum therapy is associated with a decrease in wound sepsis, possibly by lowering the bacterial load in the wound.…”

A prospective study of risk stratification in patients undergoing emergency laparotomy with POSSUM and P-POSSUM

“…[10][11][12][13] Emergency laparotomy is one of the most commonly performed major surgical procedures in emergency. It becomes imperative to assess the risk of morbidity and mortality in each of such patient undergoing emergency laparotomy as often these patients are brought to the hospital in morbid conditions.…”

Evaluation of POSSUM scoring system in patients with perforation peritonitis

“…11 It has already been used in general, vascular, colorectal, oesophageal and laparoscopic procedures. [12][13][14][15][16][17][18][19][20][21] However, the studies mostly have been done in developed countries where patient characteristics, presentation and hospital resources differ from our setup. 22 Hence, there is a need to validate POSSUM in Indian scenario where problems like delayed presentation and limited resources can affect the outcome even with adequate quality care.…”