Retrospective Study On Relaparotomy Cases In The Department Of Obstetrics And Gynaecology At A Tertiary Care Hospital In South India

Author : Rachitha.M.Prasad, Madhu Jadaiswamy

Abstract :Introduction: Laparotomy done within 60 days of primary surgery for the original disease is called Relaparotomy. It is a very difficult decision requiring good clinical judgment and is critical for the patient to undergo second surgery within short span of time. Objectives: Objective of the study was to determine incidence of relaparotomy, its indications, management and outcome. Materials and Methods: It is a retrospective study for the duration of 2 years. Laparotomies that were done within 60 days of primary surgery for the sake of complications of the primary surgery, were included in the study. Data was analysed with respect to clinical presentation, pre-operative investigations, indication, procedure undertaken, intra-operative and post-operative complications and outcome. Results: Incidence of relaparotomy was 0.26%. Indications of relaparotomy included internal haemorrhage in 11 cases (39.2%), postpartum haemorrhage in 10 cases (35.7%), pyoperitoneum in 5 cases, bowel perforation in 1 case (3.5%) and burst abdomen in 1 case (3.5%). Most common procedure performed was subtotal abdominal hysterectomy -13 cases (46.4%). Various complications were observed such as requirement of mechanical ventilation, sepsis, DIC, peripartum cardiomyopathy, pneumonia, AKI, MODS.

Keywords :Relaparotomy, Complications, Surgical Outcomes, Postoperative Management

Conference Name :International Conference on Clinical Gynecology and Women Oncology - (ICCGWO - 25)

Conference Place Hanoi, Vietnam

Conference Date 11th Feb 2025