Mortality after groin @entity547 surgery: delay of treatment and cause of XXXX .

@entity1 @entity295 @entity5 @entity18659 @entity358 @entity547 @entity204 @entity1744
BACKGROUND: Emergency @entity547 surgery, in contrast to elective @entity547 surgery, is associated with appreciable mortality. @entity547 is the second most common cause of @entity1744 after adhesions, and the leading cause of bowel strangulation. METHODS: Information on @entity1 who died within 30  days of groin @entity547 surgery was retrieved from the Swedish @entity547 Register, from the Cause-of-Death Register, and from hospital notes. RESULTS: Of 103,710 groin @entity547 operations between 1992 and 2004, 292 @entity1 died within 30  days of surgery. Hospital notes and cause of @entity204 were retrieved for 242 cases (82%). In 5 of these @entity1 , the @entity547 operation was done in addition to more urgent surgery and therefore excluded from further analyses; 152 @entity1 were admitted as emergency cases and 55 of these @entity1 underwent bowel resection. A total of 107 @entity1 had signs of @entity1744 when admitted. For 37% of these @entity1 , physical examination of the groin was not documented. @entity1 with @entity1744 without a note on a palpable groin lump were more likely to undergo imaging investigation preoperatively (P  <  0.001) and they had an increased time to surgery compared to @entity1 with a palpable lump. @entity1 and @entity1 with @entity18659 were significantly less likely to undergo a groin examination compared to other @entity1 . Local anaesthesia was used in 7% of all @entity1 who died postoperatively, and in 3% of emergency cases. @entity358 , @entity295 and @entity5 were more common as causes of @entity204 after emergency surgery than after elective surgery. CONCLUSIONS: Groin examination of @entity1 presenting with @entity1744 is of utmost importance in order to minimise delay to @entity547 surgery.
