Re-Laparotomy after Caesarean Section at Omdurman Maternity Hospital-Khartoum, Sudan

Fazari, Atif Bashir; Eldeen, N. S.; Mohammed, W.; Muror, M.; Gailii, E.

doi:10.4236/ojog.2015.58065

Cited by 9 publications

(13 citation statements)

References 11 publications

(13 reference statements)

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“…The main surgical procedure performed during re-laparotomy in the current study was hysterectomy (15 cases) either alone (8 cases) or combined with ligation of the anterior division of IIA (7 cases).These results are similar to those quoted from other studies [8,17]. The time interval between CS and re-laparotomy was variable according to the indication of re-laparotomy.…”

Section: Limitation Of the Studysupporting

confidence: 80%

“…The mean age of patients in the current study was 30.1 ± 9.3 years which is similar to patients' age in the study done by Fazari et al [8]. In the study done by Biswas et al, the mean age of patients was 25 years [14].…”

Section: Limitation Of the Studysupporting

confidence: 74%

“…The most common indication for re-laparotomy in the current study was intra-peritoneal collection (50%) followed by PPH (31.3%).In a study done in Turkey including 113 cases over four years, intra-peritoneal collection accounted for 70.8% of indications for re-laparotomy followed by PPH (14.7%) [5]. In the study done Farazi et al, intra-peritoneal collection was the indication for re-laparotomy in 44% of cases [8]. On the other hand, the leading causes identified by Shinar and colleagues were hemodynamic shock and subcutaneous hematoma [16].…”

Section: Limitation Of the Studymentioning

confidence: 98%

“…There is no standard procedure for all cases. Procedures include hysterectomy, uterine artery ligation, Internal iliac artery ligation , Drainage of blood clots and parietal hematoma, securing angles of uterine incision, removal of a foreign body or drainage of pus and suturing abdominal wall and repair of urinary bladder or bowel injuries [6,7].Reduction of CS rate in developing countries can be helpful in reduction of risks and morbidities as not all safety measures and facilities are available especially the rural areas [8]. Early recognition and treatment of post-operative complications which necessitate surgical exploration are mandatory to achieve a safe and successful outcome [9].…”

Section: Introductionmentioning

confidence: 99%

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Re-Laparotomy after Caesarean Section at a Tertiary Hospital in Egypt: Cross Sectional Study

Elkhateeb¹,

Mahran²,

Sanad³

et al. 2017

Gynecol Obstet

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Objective: To identify the risk factors and complications associated with re-laparotomy after caesarean section (CS) at Mina Maternity university Hospital in Egypt.Methods: Cross sectional study including thirty two women that underwent re-laparotomy after CS at Minia Maternity university Hospital during the period from April 2015 and March 2016 whether the primary operation was done at the hospital or patients were referred from other hospitals or private centres.Results: Repeated Cs was the most common indication for CS followed by re-laparotomy (37.5%). The second most common indication was morbidly adherent placenta (MAP) (15.6%). Intra-peritoneal collection was the indication for re-laparotomy in 50% of cases. CS was done by junior obstetricians in 56.3%, of cases. Fifteen cases were haemodynamically unstable at the time of re-laparotomy (46.9%) and 20 cases (62.5%) were admitted to ICU postoperatively. The main surgical procedure performed during re-laparotomy was hysterectomy (15 cases). The most common complication was massive blood transfusion. Maternal mortality occurs in eight cases (25%). The cause for maternal deaths was irreversible shock in four cases, multiple organ failure in two cases, disseminated intravascular coagulopathy (DIC) in one case and sepsis in one case. Conclusion:Re-laparotomy after CS is associated with high maternal morbidity and mortality. Efforts should be directed to reduce the rate of CS as repeated CS was identified as the main indication for CS followed by relaparotomy.

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Section: Limitation Of the Studysupporting

confidence: 80%

Section: Limitation Of the Studysupporting

confidence: 74%

Section: Limitation Of the Studymentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Re-Laparotomy after Caesarean Section at a Tertiary Hospital in Egypt: Cross Sectional Study

Elkhateeb¹,

Mahran²,

Sanad³

et al. 2017

Gynecol Obstet

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“…10 It has been observed that though infections after the primary surgery are localized to abscesses and perforation of the colon, systemic diseases such as pneumonia should not be ignored and treated effectively, so as to avoid systemic sepsis, and inflammatory responses and multiple organ failures. 10 Burst abdomen was seen only in 2 cases in our study accounting for 5.6%, while in a study by Fazari et al it was 8.8% 14 and another study in Ghana reported 4.17%. 16 Majority of the repair carried out in the surgeries was drainage and suturing of the hemorrhages including intestinal, postpartum and rectus sheath hematoma (66.7%) and 5 women underwent total hysterectomy (13.9%).…”

Section: Discussioncontrasting

confidence: 46%

Incidence and causes of relaparotomy after an obstetric and gynaecological operation

Sridhar

Susmitha

2016

Int Surg J

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Re‐exploration following caesarean birth: a prospective national case–control study using the United Kingdom Obstetric Surveillance System (UKOSS) data collection system

Bhatia,

Columb,

Knight

et al. 2024

Anaesthesia

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SummaryBackgroundRe‐exploration following caesarean birth and the associated maternal morbidity has not been investigated in the UK. Our aims were to determine the national incidence and identify the associated risk factors.MethodsWe conducted a prospective observational case–control study across 194 UK consultant‐led maternity units in women whose caesarean birth was complicated by a re‐exploration. Independent factors for re‐exploration were analysed using multivariable multi‐level mixed effects logistic regression.ResultsOver the study period (1 June 2021 and 31 May 2022) 238,423 caesarean births were recorded across the UK of which 187 women underwent re‐exploration, giving an incidence of one re‐exploration per 1282 caesarean births (95%CI 1:1099–1:1471). Haemorrhage (124/187, 66.3%) and sepsis (31/187, 16.6%) were the most common findings at re‐exploration. Median (IQR [range]) time interval to re‐exploration following the caesarean birth was 1 (0–4 [0–28]) day. Mechanical ventilation was required in 34 (18.6%) women, cardiac arrest was reported in 5 (2.7%) and 3 (1.6%) women died. Independent preceding factors associated with a re‐exploration included: receipt of blood transfusion (adjusted OR (95%CI) 8.25 (2.66–25.61)); use of a general anaesthetic (adjusted OR (95%CI) 3.33 (1.61–6.88)); pre‐eclampsia (adjusted OR (95%CI) 3.27 (1.55–6.91)); black ethnicity (adjusted OR (95%CI) 3.14 (1.39–7.11)); postpartum haemorrhage (adjusted OR (95%CI) 2.82 (1.81–4.37)); use of anticoagulants or antiplatelet drugs pre‐caesarean birth (adjusted OR (95%CI) 2.26 (1.35–3.81)); and emergency caesarean birth (adjusted OR (95%CI) 1.89 (1.01–3.57)).ConclusionRe‐exploration following caesarean birth in the UK is uncommon but is associated with significant maternal morbidity and mortality. These study findings will help guide informed consent and encourage appropriate surveillance of high‐risk women postpartum.

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Re-Laparotomy after Caesarean Section at Omdurman Maternity Hospital-Khartoum, Sudan

Cited by 9 publications

References 11 publications

Re-Laparotomy after Caesarean Section at a Tertiary Hospital in Egypt: Cross Sectional Study

Re-Laparotomy after Caesarean Section at a Tertiary Hospital in Egypt: Cross Sectional Study

Incidence and causes of relaparotomy after an obstetric and gynaecological operation

Re‐exploration following caesarean birth: a prospective national case–control study using the United Kingdom Obstetric Surveillance System (UKOSS) data collection system

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