Re‐laparotomy after Cesarean section

Seffah, J.D.

doi:10.1016/j.ijgo.2004.12.014

Cited by 61 publications

(62 citation statements)

References 14 publications

(11 reference statements)

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“…Burst abdomen indicated re-laparotomy in this study in (8.8%) which is high when compared to (4.17%) in Ghana study [15].…”

Section: Discussioncontrasting

confidence: 52%

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

Fazari¹,

Eldeen²,

Mohammed³

et al. 2015

OJOG

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Introduction: Caesarean section has avoidable morbidity which may lead to mortality especially in developing world. Caesarean section is a major operation which should be performed with maximum care and safety. Objectives: This study aimed to find incidence, indications, procedures and maternal outcome of re-laparotomy after caesarean delivery. Methods: This was a descriptive cross sectional prospective total coverage hospital based study conducted at Omdurman Maternity Hospital from June 2014 to January 2015. Results: The incidence for re-laparotomy after Caesarean section is (0.66%) and the main indication for re-laparotomy is hemorrhagic events. Relaparotomy outcome reported 22 cases (64.7%) alive and well and 6 cases (17.6%) alive with morbidity (renal failure and massive blood transfusion complications) and 6 cases (17.6%) of maternal mortality mainly due to sepsis. Conclusion: Re-laparotomy after Caesarean section is contributing to morbidity and maternal mortality. The majority of re-laparotomy was done after emergency Caesarean section. Lacks of skills, experience; safety measures of perfection and infection control are points to be concern.

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“…Burst abdomen indicated re-laparotomy in this study in (8.8%) which is high when compared to (4.17%) in Ghana study [15].…”

Section: Discussioncontrasting

confidence: 52%

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

Fazari¹,

Eldeen²,

Mohammed³

et al. 2015

OJOG

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“…Studies in the literature have shown the incidence to be ranging between 0.2 and 0.7 % [5,6]. The main indication for relaparotomy in the present study was haemorrhage (58.3 %).…”

Section: Discussionsupporting

confidence: 47%

Return to the Operation Theatre: An Analysis of Repeat Surgeries in Operative Obstetrics

Ahmed

Pandya

Supraneni

2015

J Obstet Gynecol India

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About the Author AbstractPurpose To determine the risk factors and associated comorbidities with a relaparotomy after primary surgery in pregnant mothers and to identify preventable causes.Methods A retrospective observational study was done at a tertiary care centre from January 2009 till August 2014. All records of exploratory laparotomy following primary surgery in the obstetric population during this period were retrieved from the hospital database and analysed. Results The incidence of relaparotomy was 0.22 %. In 94 % cases, the primary surgery was caesarean section. The commonest indication for relaparotomy was due to haemorrhagic complications like bleeding and haematoma (66.8 %). Sepsis was seen in 36.1 % cases with the predominant organism isolated being E coli (54 %). Most common comorbidity was hypertensive disorders (58 %) followed by liver disorders (19 %). 33.3 % needed ventilatory support, 30.5 % needed massive blood transfusion, 16.6 % were on total parenteral nutrition and 2.7 % needed renal replacement therapy. Maternal mortality was 2.8 %. Conclusion Relaparotomy following caesarean section is considered a near-miss mortality. Care must be taken in primary surgery with meticulous attention to haemostasis.

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“…Compared with women who did not require re-laparotomy, women who had re-laparotomy after EPH had a higher rate of surgical complications (46% vs. 94%), DIC (4.8% vs. 38.7%), and admission to the intensive care unit (11% vs 50%). Seffah (20) reported a rate of re-laparotomy after CS 0.7%, and the most frequent indication was bleeding secondary to uterine atony.…”

Section: Discussionmentioning

confidence: 99%

Changing trends in emergency peripartum hysterectomy in a tertiary obstetric center in Turkey during 2000–2013

Temizkan¹,

Anğın²,

Karakuş³

et al. 2016

J Turkish German Gynecol Assoc

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Objective: To evaluate emergency peripartum hysterectomy (EPH) cases over a 14-year period in a tertiary center in İstanbul, Turkey. Material and Methods:In this retrospective descriptive study, the records of all cases of EPH performed at the Zeynep Kamil Women and Keywords: Postpartum hemorrhage, placenta accreta, emergency peripartum hysterectomy, trend Received: 26 November, 2015 Accepted: 18 January, 2016 Changing trends in emergency peripartum hysterectomy in a tertiary obstetric center in Turkey during [2000][2001][2002][2003][2004][2005][2006][2007][2008][2009][2010][2011][2012][2013] Osman

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Re‐laparotomy after Cesarean section

Cited by 61 publications

References 14 publications

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

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

Return to the Operation Theatre: An Analysis of Repeat Surgeries in Operative Obstetrics

Changing trends in emergency peripartum hysterectomy in a tertiary obstetric center in Turkey during 2000–2013

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