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[Second look in abdominal surgery]
M Zaniewski1, T Urbanek, A Krupowies
1I Katedry i Kliniki Chirurgii Ogólnej i Naczyń Slaskiej Akademii Medycznej w Katowicach.
Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|January 1, 1997
Summary
This study reviews elective relaparotomy (second-look laparotomy) in 12 patients with complex abdominal conditions. While offering potential benefits, the procedure had a significant mortality rate, highlighting the need for careful patient selection.
Area of Science:
- Abdominal Surgery
- Vascular Surgery
- Surgical Oncology
Background:
- Elective relaparotomy, or second-look laparotomy, is a planned re-operation following initial abdominal surgery.
- Indications for this procedure can be complex, involving vascular diseases, neoplastic tumors, and ischemic conditions.
Purpose of the Study:
- To present the authors' experience and discuss indications for elective second-look laparotomy.
- To evaluate the outcomes and associated risks of this surgical approach.
Main Methods:
- Retrospective review of 12 patients undergoing elective relaparotomy for various abdominal conditions.
- Analysis of patient demographics, primary diagnoses, timing of relaparotomy, and outcomes.
Main Results:
- The study included patients with abdominal aortic aneurysms, neoplastic tumors, superior mesenteric artery thrombosis, and peritonitis.
- Five patients (41.7%) died post-relaparotomy.
- Complications requiring further surgical intervention were noted in 4 cases, with 2 fatalities and 2 successful treatments.
Conclusions:
- Elective second-look laparotomy is associated with significant morbidity and mortality.
- Careful consideration of patient condition and anticipated risk factors is crucial for determining indications and potential advantages.