Factors Affecting Mortality in Planned Relaparotomy Performed Patients

Özet

Objective: Secondary peritonitis or abdominal sepsis and intra-abdominal hemor- rhages are associated with high mortality rates and are still challenging among sur- geons. Planned relaparotomy is one of the underestimated treatment options of these intractable clinical entities. This study aimed to identify mortality rates and factors affecting mortality in the patient treated by planned relaparotomy for persisting in- traabdominal infection and hemorrhage in a single institution. Material and methods: This retrospective study performed by collecting patients’ data from the archive of our university hospital and records of operations performed in our department. Forty-two patients treated with planned relaparotomy for 19 years were included to study. Indications for planned relaparotomy were secondary perito- nitis and intraabdominal hemorrhage. Results: Overall , secondary peritonitis, and intraabdominal hemorrhage groups’ mortality rates were 52.4%, 59.3%, and 28.5% respectively (p < 0.05). Factors observed relating mortality were presence of malignancy (p = 0,037), mesenteric ischemia (p = 0,029), development of organ failure (p = 0,001) and presence of anastomosis (p = 0,006). Conclusion: High mortality rate could be due to underway infections and repeated surgical trauma-related multiple organ failures, independent factors as the presence of malignancy, and mesenteric ischemia raises the risk of mortality in planned relap- arotomy patients. The data from this study and the available literature reveals that the factors which predict mortality in patients who undergo a relaparotomy are related to the severity of the disease.