EVALUATION OF OUTCOME OF RELAPROTOMY IN SURGICAL PATIENTS: A CROSS SECTIONAL STUDY FROM A TERTIARY CARE HOSPITAL

Main Article Content

Ashishkumar Kharadi
Ajay Mahendra Tiwari
Dhagash Gautamkumar Patel
Pratikkumar Parker

Keywords

Laparotomy, Acute Abdomen, Postoperative Complications, Respiration Disorders

Abstract

Background and Objectives: Relaparotomy is a significant post-operative complication that necessitates careful consideration by surgeons. It refers to subsequent surgical procedures performed during the hospitalization period that are associated with the initial surgery. The incidence rate of relaparotomy varies between 0.5% and 15%, with a higher occurrence observed in gastrointestinal surgeries. Redo laparotomies can be classified as "on demand" or "planned," depending on the circumstances. The objective of this research was to assess the results of relaparotomies in surgical patients.


Material and Methods: A cross-sectional study was done at a tertiary care hospital to evaluate the role and outcomes of patients requiring relaparotomies. The study included patients of both genders, aged 18 years or older, presenting with acute abdomen and undergoing laparotomy, subsequently requiring relaparotomy. Patients who were unwilling to participate or had immunocompromised status and comorbidities such as cardiac or respiratory disease, or organ failure were excluded from the study.


 

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References

1. Rajesh A, deAzevedo RU, Shaikh N, et al. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Hoboken, NJ: Wiley; 2022. p. 1579-1600.
2. Uysal E, Turel SK, Sezgin E. Evaluation of factors affecting mortality in urgent redo-laparotomies. Med Sci Discov. 2017;4(5):35-43.
3. Haluk RU, Erdinc K, Haldun K, Ahmet B, Mustafa P, Mehmet AO. Urgent abdominal re-explorations. World J Emerg Surg. 2006;1:10.
4. Krivitskii DI, Shuliarenko VA, Babin IA. Indications for relaparotomy. Klin Khir. 1990;1:18-21.
5. Koirala R, Mehta N, Varma V, Kapoor S, Kumaran V, Nundy S. Urgent redo-laparotomies: patterns and outcome a single centre experience. The Indian Journal of Surgery. 2015;77(3):195-9.
6. Ching SS, Muralikrishnan VP, Whiteley GS. Relaparotomy: a five year review of indications and outcome. Int J Clin Pract. 2003;57:333-7.
7. Kozar RA, Moore JB, Niles SE, Holcomb JB, Moore EE, Cothren CC, Hartwell E, Moore FA. Complications of nonoperative management of high-grade blunt hepatic injuries. J Trauma. 2005 Nov;59(5):1066-1071.
8. Sartelli M, Chichom-Mefire A, Labricciosa FM, et al. The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections. World J Emerg Surg. 2017;12:29.
9. Patel H, Patel P, Shah DK. Relaparotomy in general surgery department of tertiary care hospital of western India. Int Surg J 2017;4:344-7.
10. Koirala R, Shakya VC, Khania S, Adhikary S, Agrawal CS. Redo-laparotomies: reasons, morbidity and outcome. Nepal Med Coll J. 2012 Jun 1;14(2):107-10.
11. Koirala R, Mehta N, Varma V, et al. Urgent Redo-Laparotomies: Patterns and Outcome—A Single Centre Experience. Indian J Surg. 2015;77:195-199. DOI: 10.1007/s12262-012-0760-9.
12. Scriba MF, Laing GL, Bruce JL, et al. The Role of Planned and On-Demand Relaparotomy in the Developing World. World J Surg. 2016;40:1558-1564. DOI: 10.1007/s00268-015-3379-8.
13. Sharma A, Sahu SK, Nautiyal M, Jain N. To study the aetiological factors and outcomes of urgent re-laparotomy in Himalayan Hospital. Chirurgia (Bucur). 2016 Jan 1;111(1):58-63.
14. Shah P, Choksi D, Arun R, Chauhan S, Kadia R. Evaluation of relaparotomy in surgery and obstetrics and gynecology patients in tertiary care hospital in India: reason, morbidity, mortality: a case controlled study. International Surgery Journal. 2020 Oct 23;7(11):3707-12.
15. Swallow AY, Akoko LO, Lema LE. Patient's characteristics, management practices and outcome of re-laparotomies in a tertiary hospital in Tanzania. Heliyon. 2020 Jul 1;6(7).