Relaparotomy : Analysis of 50 Cases And Review of Literature

Abstract

Introduction: Reoperative Abdominal Surgery (Relaparotomy) means an unplanned reintervention carried out during the immediate postoperative period after laparotomy and causally related to first operation. Method:The study had been carried out in upgraded department of General Surgery in SMS Medical College and Hospital. The cases comprises of operated in SMS Hospital and those referred from other surgical centers.Results: Maximum patients 70% needs relaparotomy only one time which had minimum mortality (11.4%). Four patients (8%) were needed relaparotomy 3 times in which 2 patient were expired. Mean while mortality rate of 3rd relaparotomy was 50%. Relaparotomy were done mainly for adhesion obstruction and anastomotic leakage. Adhesion obstruction superwanes anastomotic leakage (40% v/s 28%). 4% patients in which foreign body (sponge in peritoneal cavity at the time of previous surgery) were found both cases operated for caesarian section. 68% patients were refered from some other institution Conclusion: Decision to perform relaparotomy as per patients condition, if taken in time it can improv overall survival and have a positive impact on decrease length of hospital stay, overall cost of treatment and morbidity as well as mortality.

The Incidence of Obstetrics and Gynecology Cases Returning to Operation Theater due to Postoperative Complications in a Tertiary Care Hospital

“…All the booked and non-booked pregnant patients of any age undergoing emergency or elective obstetrics or gynecological procedure from January 1, 2016 to December 31, 2020 were enrolled in the study. Relaparotomy was defined as cases opened within same admission and causally associated with previous primary obstetrics or gynecological operation [3]. The patients who were operated on in tandem with other surgical departments such as general surgery and urology, laparotomies that were completed and performed to determine the necessity of main surgery from the initial procedure, and instances of the major case that were either gynecological or obstetric were excluded.…”

“…A relaparotomy is an unanticipated reintervention performed during the immediate postoperative period following a laparotomy that is directly connected to the original procedure. With rare exceptions, relaparotomy operations are usually conducted within the same hospital stay [3, 4]. The main purpose of re-exploration is to address the ongoing hemorrhage, prevent or minimize sepsis, and enhance the recovery of patient.…”