Surgical care provision for acute abdominal conditions in the Amur Region from 2020 to 2024

Objective: To analyze the treatment outcomes for acute surgical conditions of the abdominal organs in the Amur Region from 2020 to 2024. Materials and methods. Data from the surgical service of the Amur Region for 2020–2024 were used, covering 15,920 patients with acute appendicitis, acute cholecystitis, acute pancreatitis, acute intestinal obstruction, peptic ulcer bleeding, perforated peptic ulcer, and incarcerated hernia. Results. From 2020 to 2024, 28.01% of cases were acute appendicitis, 24.59% were acute pancreatitis, 18.62% for acute cholecystitis, 12.87% for acute intestinal obstruction, 7.61% for peptic bleeding, 3.9% for perforated ulcers, and 4.4% for incarcerated hernias out of the total number of patients (15,920). In 2024, acute pancreatitis (28.14%) was the leading cause of hospitalization among admitted patients (3,572), followed by acute appendicitis (22.56%) in the second place and acute cholecystitis (18.73%) in the third place. Surgery was most commonly performed for appendicitis (46.95%). The highest mortality rates were observed in cases of perforated ulcers (15.78%), peptic bleeding (10.9%), and acute intestinal obstruction (10.3%). Among patients, 48.16% were admitted more than 24 hours after the onset of symptoms, and the mortality rate doubled. Laparoscopic surgeries accounted for 27.44% of all procedures. Conclusion. Therefore, to integrate theoretical knowledge with practical application more effectively, it is advisable to schedule the study The incidence of acute surgical conditions of the abdominal organs in the Amur Region aligns with rates observed in the Far Eastern Federal District and the Russian Federation. Delayed hospitalization of patients, defined as more than 24 hours, is associated with complications and increased mortality. Proposed organizational measures aim to improve the provision of emergency surgical care.

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