Re-laparotomy after cesarean section: operative complications in surgical delivery

Gedikbaşı, Ali; Akyol, Alpaslan; Asar, Emel; Bingöl, Banu; Uncu, Remzi; Sargin, Mehmet Akif; Ceylan, Yavuz

doi:10.1007/s00404-008-0604-9

Cited by 40 publications

(39 citation statements)

References 20 publications

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“…There is wide variety of maternal complication reported in different studies [8,10,14,17]. In the current study, the most common complication reported was ICU admission (62.5%) followed by massive blood transfusion (43.8%).…”

Section: Limitation Of the Studymentioning

confidence: 79%

“…Reports documenting the rates, causes, and risk factors for re-laparotomy after CS are lacking [10]. Furthermore, the few available studies reported risk factors, demographic characteristics and the surgical procedures performed for patients that underwent re-laparotomy and surgical procedure without highlighting the details of maternal complications and mortality rate in these cases.…”

Section: Discussionmentioning

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 Studymentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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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“…In the study by Gedikbasi, procedures done at relaparotomy were drainage and resuturing of haematoma and resuturing of uterus, bladder repair, total and subtotal hysterectomy etc. 9 In the study by Seffah, main surgeries done were hysterectomy, internal iliac artery ligation, debridement and resuturing of uterine incision and secondary suturing of anterior abdominal wall. 10 In study by Biswas SP, hysterectomy or subtotal hysterectomy was done in 38.18% and conservative surgery was done in 61.82%.…”

mentioning

confidence: 99%

Relaparotomy after caesarean section: an analysis of the risk factors, indications and outcome

Khan

Kolasseri

2015

Int J Reprod Contracept Obstet Gynecol

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“…Nevertheless, when a ureteric injury does occur, quick recognition of the problem and a working knowledge of its location and treatment are essential in providing patients with optimal medical care [7].…”

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confidence: 99%

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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Re-laparotomy after cesarean section: operative complications in surgical delivery

Cited by 40 publications

References 20 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

Relaparotomy after caesarean section: an analysis of the risk factors, indications and outcome

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

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