Early relaparotomies after abdominal surgery

Objective & Hypothesis:The medical records of 3182 patients that had laparotomy in our clinic between January 2002 and January 2007 had been evaluated retrospectively. 80 patients (%3.8) had early potoperative relaparotomy.

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Key Findings & Data:Among 3182 patients, 32 (40%) of them had mortality and 11 (61.1%) of these were the patients who had a multiple relaparotomy.

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Conclusion & Impact:In conclusion, complications that leads to an early stage relaparotomy still have a great importance in our daily surgical practice.

🔬Design:Research Article

📍Scope:2002 Verileri

⚙️Variables:Domain Parameters

Abstract

The medical records of 3182 patients that had laparotomy in our clinic between January 2002 and January 2007 had been evaluated retrospectively. 80 patients (%3.8) had early potoperative relaparotomy. The most common causes were anastomotic leakage, mechanical or paralytic postoperative ileus, evantration or evisseration, bleeding into abdominal cavity or into the intestinal channel. Among 3182 patients, 32 (40%) of them had mortality and 11 (61.1%) of these were the patients who had a multiple relaparotomy. In conclusion, complications that leads to an early stage relaparotomy still have a great importance in our daily surgical practice. Despite the developing surgical techniques, the surgical materials and the posteoperative patient care, the mortality rates are still high. Early decision making is the most important entity in the treatment. The pateints need an early relaparotomy must be treated with most suitable suppertive treatment followed by the operation es early as possible.

Özet

Kliniğimizde 01.01.2002 ile 01.01.2007 tarihleri arasında laparotomi uygulanan 3182 olgunun kayıtları retrospektif olarak incelendi. Olguların 80'ine (%3,8) erken postoperatif relaparotomi uygulandı. En sık erken postoperatif relaparotomi nedenleri anastomoz kaçağı, mekanik veya paralitik postoperatif ileus, evantrasyon veya evisserasyon, intestinal kanal içine veya abdominal kaviteye olan kanamalardı. Olguların 32'sinde (%40) mortalite gelişti, bunların 11'ini (%61,1) ise tekrarlayan relaparotomi uygulanan hastalar oluşturuyordu. Sonuç olarak postoperatif dönemde ortaya çıkan ve erken dönem acil relaparotomi gerektiren komplikasyonlar günümüzde halen önemini korumaktadır. Gelişen cerrahi teknik ve malzeme kalitesi ile beraber giderek iyileşen hasta bakımına rağmen mortalite oranları halen yüksektir. Erken postoperatif relaparotomi gerektiren hastaların tedavisinde en önemli unsur mümkün olduğu kadar erken karar vermektir. Erken postoperatif relaparotomi gerektiren hastalara uygun destek tedavi uygulanmalı ve ardından hasta en kısa sürede . öpere edilerek sorun giderilmeye çalışılmalıdır.

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Cite This Article

KARABUĞA, T., NAZLI, O., KOÇ, O., KARA, C., SÖZÜTEK, A., YAMAN, İ. (2022). Early relaparotomies after abdominal surgery. İzmir Atatürk Eğitim Hastanesi Tıp Dergisi, Cilt: 47 - Sayı: 4, 151–154. https://ajindex.com/articles/557501

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