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Updated: May 28, 2026

Technical Considerations and Approach to Redo Foregut Surgery
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Published on: September 22, 2023

How often do patients return to the operating room after colorectal resections?

R Ricciardi1, P L Roberts, T E Read

  • 1Department of Colorectal Surgery, Lahey Clinic, Burlington, MA, USA. rocco.ricciardi@lahey.org

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|October 7, 2011
PubMed
Summary

Re-operation after colorectal surgery is common, affecting 7.6% of patients and linked to increased mortality. Identifying risk factors like hernia or colostomy complications is crucial for reducing re-operation rates in colorectal surgery.

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Area of Science:

  • Colorectal Surgery
  • Surgical Quality Improvement
  • Patient Outcomes

Background:

  • Re-operation after colorectal surgery can lead to adverse patient outcomes.
  • Understanding the incidence and risk factors for re-operation is essential for improving surgical care.

Purpose of the Study:

  • To determine the rate of re-operation following colorectal surgery.
  • To identify risk factors associated with re-operation after colorectal procedures.

Main Methods:

  • Retrospective cohort study utilizing the American College of Surgeons National Surgical Quality Improvement Program database.
  • Inclusion of patients undergoing colorectal resection between January 2005 and December 2008.
  • Analysis of return to operating room rates and associated risk factors.

Main Results:

  • A total of 54,237 patients underwent colorectal operations.
  • The re-operation rate was 7.6% for colorectal resections, significantly higher than non-colorectal procedures (5.4%).
  • Postoperative abdominal cavity hernia or colostomy complications were associated with the highest odds of 30-day re-operation. Patients requiring re-operation experienced longer hospital stays and higher mortality.

Conclusions:

  • Re-operation is a frequent event after colorectal resections, carrying a substantial mortality risk.
  • Strategies to minimize re-operation necessity are warranted due to the association with poor patient outcomes.
  • Further research into preventative measures for complications leading to re-operation is recommended.