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[Indications for relaparotomy]
Klinicheskaia Khirurgiia
|January 1, 1990
Summary
Repeated abdominal surgeries, or relaparotomies, were necessary for 152 patients following initial operations. Postoperative complications like peritonitis and ileus led to these interventions, with a significant 26% mortality rate.
Area of Science:
- General Surgery
- Abdominal Surgery
- Surgical Complications
Context:
- A retrospective analysis of 10,446 patients undergoing abdominal surgery between 1980 and 1987.
- Investigated the incidence and indications for relaparotomy, a repeat operative intervention.
- Examined postoperative outcomes and mortality associated with relaparotomy.
Purpose:
- To determine the frequency and primary indications for relaparotomy in a large surgical cohort.
- To assess the diagnostic challenges and lethality associated with postoperative complications necessitating relaparotomy.
- To provide insights into the management and outcomes of patients requiring repeat abdominal surgery.
Summary:
- 152 out of 10,446 patients required relaparotomy (1.45% incidence).
- Indications included peritonitis (78), ileus (46), eventration (11), and hemorrhage (12).
- Emergency relaparotomies were most common (106), followed by delayed (42) and elective (4).
Impact:
- Highlights the difficulty in diagnosing postoperative complications requiring urgent surgical re-intervention.
- Reports a high postoperative lethality rate of 26% for patients undergoing relaparotomy.
- Underscores the significant morbidity and mortality associated with repeat abdominal surgeries.