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[Relaparotomy following stomach operations].

F Schulz, R Függer, J Polcik

    Langenbecks Archiv Fur Chirurgie
    |January 1, 1984
    PubMed
    Summary
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    Relaparotomy after stomach operations is often necessary due to complications like peritonitis and bleeding. Prompt reoperation is crucial, as nearly half of reoperated patients died, highlighting the need for early surgical intervention.

    Area of Science:

    • Gastrointestinal Surgery
    • Surgical Complications
    • Patient Outcomes

    Context:

    • Analysis of 1,442 stomach operations performed between 1977 and 1982.
    • Identified the incidence and causes of relaparotomy (reoperation).
    • Evaluated mortality rates associated with reoperations.

    Purpose:

    • To determine the frequency and primary reasons for relaparotomy after stomach surgery.
    • To assess the mortality associated with these reoperations.
    • To advocate for timely surgical intervention.

    Summary:

    • 82 relaparotomies were required out of 1,442 stomach operations.
    • Common causes included peritonitis with anastomotic insufficiency (27 cases), localized abscesses (14), and bowel obstruction (11).

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  • Mortality rate for reoperated patients was 47.6%, often due to surgical complications.

    • Impact:

    • Highlights the significant morbidity and mortality associated with delayed treatment of surgical complications.
    • Emphasizes the critical need for prompt reoperation to improve patient survival after stomach surgery.
    • Informs surgical practice regarding the urgency of addressing post-gastric surgery complications.