Study on Relaparotomy in Coimbatore Medical College and Hospital

Sushanth, S (2014) Study on Relaparotomy in Coimbatore Medical College and Hospital. Masters thesis, Coimbatore Medical College, Coimbatore.


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INTRODUCTION: The term RELAPAROTOMY (RL) refers to operations performed within 60 days in association with the initial surgery, for complications arising following primary surgery whereas the term ―early RL‖ refers to laparotomy performed for the original disease within 21 days of the first operation. These urgent Relaparotomy are also called as final choice operation. OBJECTIVES: To find out, common indications for performing Relaparotomy, outcomes of Relaparotomies, factors influencing the associated mortality rate in Coimbatore Medical College Hospital. METHODS: 30 patients who underwent relaparotomy for complications arising due to initial laparotomy were included in the study. Demographic features and initial diagnoses of the patients, the reasons for their initial surgery and their postoperative complications and outcome of relaparotomy were analyzed. RESULTS: The average patient age was 52.2 years and the male:female ratio was 25:5. Relaparotomy was performed for the following complications: leakage of an intestinal repair or anastomosis (n = 7, 23%); persistent intraabdominal infection (n = 7, 23%), burst abdomen (n = 6, 20%), enterocutaneous fistula (n = 3, 10%), persistent intraabdominal abscess (n = 2, 7%), stomal complications (n = 2, 7%), post-operative hemorrhage (n = 2, 7%) and persistent intestinal gangrene (n = 1, 3%). A mortality rate of 20% (n = 6) was attributed mainly to infections (n = 22, 73%). The average interval between the first laparotomy and relaparotomy was 12.3 days, and the average hospital stay was 25.8 days. CONCLUSIONS: According to our study, the reasons for Relaparotomy (RL) are many. Anastomotic leak and persistent intra abdominal infection are major reason for relaparotomy, and these are associated with high mortality. The reduction of high RL rates, and subsequent high mortality rates, mainly depends on the success of the first operation.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Relaparotomy ; Anastomotic leak ; Persistent intraabdominal infection ; Burst abdomen.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 06 Jul 2018 16:26
Last Modified: 07 Jul 2018 17:47

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