Emergency General Surgery

When it comes to having surgery a patient wants the best doctor, a compassionate staff, and the latest technologies to ensure that all of the patient’s questions and concerns are answered; Dr. Dayal and her staff will do just that as a board certified surgeon that is an expert in complex surgeries and laparoscopies. General surgery involves the performance of procedures and operations that affect internal organs which include the digestive and abdomen tract.

Dr. Dayal has the experience and expertise needed to repair the issue and help you recover.

What is Emergency General Surgery?

Emergency general surgery (EGS) refers to any patient (inpatient or emergency department) who requires an emergency surgical examination (operative or non-operative) for disorders within the field of general surgery. The EGS program provides comprehensive care to critically ill patients with acute surgical emergencies, respiratory failure, multisystem organ failure, sepsis, and shock. Recent reports have shown that about 10% of all hospital admissions are secondary to an EGS issue, a rise of more than 30% over the last 10 years. In addition, it has been indicated that patients cared for by a dedicated EGS service enhance patient outcomes.

EGS (emergency general surgery) encompasses a wide range of services, including:

• Providing assessment and management of patients presenting with an urgent surgical condition at any time of day or night; performing emergency surgeries at any time of day or night.
• Providing ongoing care to individuals who have had surgery as well as other patients in the hospital (including non-operative patients who become suddenly ill)
• Performing additional “rescue” surgeries for complications in individuals who have just undergone surgery, whether it was planned (elective) or emergency surgery.
• Providing advice and assessment for patients referred from other departments of the hospital, other hospitals in the network, and their general practitioners.
• Providing effective and early acute pain management and overseeing out-of-hours palliative care, as well as corresponding with patients and their families

What are the most Common General Surgical Emergencies?

Acute Abdominal Emergencies

This condition demands immediate attention and treatment. The term "acute abdomen" refers to significant abdominal pain that occurs suddenly. Some of the acute abdominal emergencies include:

• Incarcerated and Strangulated Inguinal Hernias: An incarcerated hernia can shut off blood supply to a section of your intestine. Strangulation can cause the damaged intestinal tissue to die. A strangulated hernia is life-threatening and requires immediate surgery.
• Appendicitis: Appendicitis is an inflammation of the appendix, a finger-shaped pouch on the lower right side of your belly that projects from your colon. The pain in your lower right abdomen is caused by appendicitis. 
• Peptic ulcer complications
• Gall bladder and bile duct disease

Infections of the Skin and Muscles

Antibiotics have altered the course of infections of the skin, muscles, bones, and joints, which are frequently connected with bloodstream infections and were major causes of mortality and disability before antibiotics became available. Serious infections are frequently treated by pus aspiration, culture, and medications.

Summary

The primary objective of the Emergency General Surgery service is to offer timely surgical assessment and operative management of the patient with an acute general surgical issue. EGS Service focuses the care of the patient on one service. This enables the development of evidence-based medicine/management guidelines to care for patients. As such, variability in care is reduced, cost of care is reduced, and morbidity is reduced as well.