A Prospective Study on Relaparotomies Following Obstetric & Gynecological Surgeries: A Hospital Based Study
DOI:
https://doi.org/10.21276/ak5hbr84Keywords:
Relaparotomies, Obstetric and Gynecological Surgeries, MortalityAbstract
Background: The purpose of relaparotomy is to manage the previous surgery complications, maintain homeostasis, to clear intraabdominal infection and prevent sepsis. Relaparotomy is a difficult decision and it should be undertaken by an experienced surgical team.
Methods: This study included 46 cases of relaparotomies. This study conducted in department of gynecology & surgery and the subjects were enrolled on the basis of inclusion and exclusion criteria.
Results: Total relaparotomies were 23. 83% were following caesarean section.17% were following Gynaecology related surgeries. Most common indication was hemoperitoneum. Coagulopathy was associated with 43% of cases. Average duration of time between primary surgery and reoperation was 18.5 hrs. Total deaths were 6(26%) and all were obstetric cases. The most common cause of death was coagulopathy with multi organ failure.
Conclusions: This study concludes that, relaparotomies can be prevented by adopting simple but important techniques during the surgical procedure. Adequate replacement of blood and blood products can prevent dilutional coagulopathy.
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References
Ahmed Khan NB, Kolasseri SS. Relaparotomy after caesarean section: an analysis of the risk factors, indications and outcome. Int J Reprod Contracept Obstet Gynecol 2015;4:575-80.
Gedikbasi A, Akyol A, Asar E, Bingol B, Uncu R, Sargin A, et al. Relaparotomy after cesarean section: operative complications in surgical delivery. Arch Gynecol Obstet. 2008;278(5):419-25.
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Ahmed Khan NB, Kolasseri SS. Relaparotomy after caesarean section: an analysis of the risk factors, indications and outcome. Int J Reprod Contracept Obstet Gynecol 2015;4:575-80.
Gedikbasi A, Akyol A, Asar E, Bingol B, Uncu R, Sargin A, et al. Relaparotomy after cesarean section: operative complications in surgical delivery. Arch Gynecol Obstet. 2008;278(5):419-25.
Kessous R, Danor D, Weintraub A, Wiznitzer A, Sergienko R, Ohel I, et al. Risk factors for relaparotomy after caesarean section. J MaternalFetal Neonatal Med. 2012;25:2167- 70.
Levin I, Rapaport AS, Satzor L, Maslovitz S, Lessing JB, Almog B. Risk factors for relaparotomy after caesarean delivery. Int J Gynaecol Obstet. 2012;119:163-5.
Lurie S, Sadan O, Golan A. Realaparotomy after cesarean section. Eur J Obstet Gynecol Reprod Biol. 2007;134(2):184-7.
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