OPTIMIZING OPERATIVE PROCEDURES TO MINIMIZE SURGICAL COMPLICATIONS: A MULTIDISCIPLINARY PREVENTION AND MANAGEMENT MODEL
Abstract
Surgical complications are a major source of preventable morbidity and mortality worldwide. Evidence-based systems such as the WHO Surgical Safety Checklist and ERAS protocols show that structured, team-based perioperative care reduces adverse events. This before-after study evaluated a multidisciplinary prevention and management model implemented in the Department of Surgery No. 1, Fergana Branch of the Republican Scientific Center of Emergency Medicine, involving 56 adults undergoing urgent or elective abdominal operations. Twenty-six patients received usual care, and 30 were treated after the model’s introduction. The intervention incorporated checklist-based intraoperative safety, ERAS-inspired perioperative bundles, daily multidisciplinary rounds, and standardized protocols for infection, thromboembolism, and pulmonary complication management. Baseline characteristics were similar. Postoperative complications declined from 42.3% to 16.7% (p = 0.034), and length of stay decreased from 9.2 to 6.8 days (p = 0.010). Multivariable analysis showed reduced complication odds (adjusted OR 0.28). The model appears feasible and effective in resource-limited emergency surgery settings.
Keywords
surgical complications, multidisciplinary care, enhanced recovery after surgery, surgical safety checklist, perioperative management, quality improvement, Uzbekistan
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