Prevalence and factors associated with re-laparotomy among patients operated in Debre-Markos Referral Hospital, North West Ethiopia: Retrospective cross-sectional study

Abstract

Background Re-laparotomy is one of the causes of morbidity and mortality among patients with abdominal surgery; unless efforts are made to prevent in advance by identifying the potential risk factors.Methods Retrospective cross-sectional study was conducted at Debre-Markos Referral Hospital from three hundred and ninety charts (390) from January 1, 2015, to January 30, 2017. Data were analyzed using Statistical Package for Social Science (SPSS) version 22. The associated factors for relaparotomy were identified using multivariable logistic regression. P-value < 0.05 was considered to be statistically significant. ResultsWe studied 390 patients based on charts. Two hundred seventy-four patients (70.3%) were males. Forty-eight patients (12.3%) performed re-laparotomy. Patients with the duration of operating on initial surgery >60 hrs, AOR=3.30(95%CI [1.40-7.41, p=0.05]), diabetes mellitus, AOR=4.79(95%CI [1.55-14.80, p=0.007]), elective surgery, AOR=0.17(95%CI [0.05-0.56, p= 0.004])Conclusion Even re-laparotomy is preventive; it is found to be in-patients underwent abdominal surgery. Therefore, appropriate preventive intervention to be taken to change those factors of the first surgery. BackgroundRe-laparotomy defined as a re-abdominal operation performed within 60 days relate to the first surgery (1). Re-laparotomy reported in different parts of the world, which accounts about 1.5-27% of patients with abdominal surgery (1-7).Re-laparotomy occurs once or more than once related to complications (8). It is one of the causes of morbidity and mortality among patients with abdominal surgery (1,9); unless efforts are made to prevent in advance by identifying the potential risk factors. The most common indications for relaparotomy are peritonitis, infection, bleeding, abscess, anastomotic leakage, wound dehiscence, necrotizing pancreatitis, bowel necrosis, bowel obstruction and evisceration (10,11). This study concluded that patients with re-laparotomy had high in mortality as well as exposed to the disease (10, 11). Research, however, lacks in examining the effect of re-laparotomy on abdominal surgicalThe authors have declared that they have no competing interests.