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[Relaparotomy. Problems of terminology].
Khirurgiia
|July 17, 2003
Summary
Relaparotomy, defined as surgery within 60 days of the initial operation, is distinguished from repeated operations performed after this adaptation period. This definition uses the body's stress response to clarify surgical timing.
Area of Science:
- General Surgery
- Surgical Stress Response
- Clinical Definitions
Context:
- Current definitions of relaparotomy lack objective criteria.
- Classifications of relaparotomy vary, leading to ambiguity.
- The physiological response to surgical stress is not consistently applied to define relaparotomy timing.
Purpose:
- To propose a standardized definition of relaparotomy.
- To establish objective criteria for differentiating relaparotomy from repeated operations.
- To utilize the Selye adaptation syndrome as a clinical marker for relaparotomy.
Summary:
- The study reviews existing definitions and classifications of relaparotomy.
- A novel definition is proposed, based on the 60-day duration of the Selye adaptation syndrome following surgical stress.
- Relaparotomy is defined as surgery performed within this 60-day window; subsequent surgeries are classified as repeated operations.
Impact:
- Provides a clear, objective criterion for defining relaparotomy.
- Aims to reduce ambiguity in surgical reporting and patient management.
- Facilitates consistent research and clinical practice regarding early re-operations.