Relaparatomies after obstetric surgeries at a tertiary care hospital, NRI General Hospital, Chinnakakani, Guntur

Re-laparotomy after caesarean section

“…During 2 years of study, there were a total number of 16,901 deliveries among 10,478 cases by normal vaginal and 6423 cases by C-section delivery. Among 6423 cases 16 cases required relaparotomy and the incidence was found to be 0.25% which is similar to the other studies [1][2][3][4][5][6][7][8] . Placenta previa, Antepartum hemorrhage (APH), Dystocia, Malpresentation, Fetal distress, altered biophysical profile (BPP), and Premature rupture of membrane (PROM) were major indications for C-section with comorbidities such as fibroid uterus, severe pre-eclampsia, and anemia were associated with our study population.…”

“…Burst abdomen (31.25%) was the second most indication of relaparotomy in our study. whereas the studies reported that the percentage of Burst abdomen was observed in 4%, 10.7%, and 22.7% of C-section cases [7,11,6] . To reduce postoperative complications, proper care, and safe procedure should follow to minimize further complications.…”

“…The percentage of maternal recovery and death was found to be 93.8% and 6.3% (due to severe anemia and heart disease) in our study. Studies reported that maternal mortality is high in emergency C-section when compared to elective C-section, according to Ahmed et al, Raagab et al, and Shyamal et al studies reported the fatality rate of 18.5%, 11.5%, and 15.38% after Relaparotomy [6,13] .…”