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[Emergency relaparotomy in children]
Vestnik Khirurgii Imeni I. I. Grekova
|April 1, 1984
Insights
Early relaparotomies are needed in 1.3% of abdominal surgeries due to complications like obstruction and peritonitis. These re-operations carry a high postoperative mortality rate of 23.5%.
Area of Science:
- Abdominal Surgery
- Surgical Complications
- Intraperitoneal Infections
Context:
- Postoperative care following abdominal cavity operations.
- Analysis of early relaparotomies.
- Incidence and causes of intraperitoneal complications.
Purpose:
- To determine the necessity and frequency of early relaparotomies after abdominal surgery.
- To identify the primary causes of repeated operations.
- To assess the postoperative lethality associated with early relaparotomies.
Summary:
- Early relaparotomies were required in 1.3% of patients undergoing abdominal surgery.
- Key indications included intestinal obstruction, diffuse peritonitis, eventration, localized abscesses, and bleeding.
- The study highlights a significant postoperative mortality rate of 23.5% in patients undergoing early relaparotomy.
Impact:
- Highlights the critical need for vigilant postoperative monitoring in abdominal surgery.
- Informs surgical practice regarding the risks and management of intraperitoneal complications.
- Underscores the high-risk nature of early relaparotomies, emphasizing the importance of prevention and timely intervention.
Abstract:
Early relaparotomies following operations on organs of the abdominal cavity were shown by the authors to be necessary in 1,3% of the patients operated on due to developing intraperitoneal complications. The main causes of repeated operations were: intestinal obstruction, diffuse peritonitis, intestinal eventration, limited purulent processes in the abdominal cavity and intraperitoneal bleedings. Postoperative lethality proved to be high (23,5%).