Relaparotomy after Cesarean Section : Experience from a Tertiary Referral and Teaching Hospital of Bangladesh

Rouf, Salma; Sharmin, S; Dewan, Farhana; Akhter, Salma

doi:10.3329/bjog.v24i1.6319

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…Some obstetric practices such as labour induction and epidural analgesia may be claimed to contribute in the rise in the rate of CS [2]. Despite Improving the facilities and safety of Caesarean section, it is still a major operation with associated with risks and potential complication [3].…”

Section: Introductionmentioning

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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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: Introductionmentioning

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 6 cases intraoperative findings were intraperitoneal haemorrhage and in 1 case, it was uterine necrosis. Maternal death following relaparotomy was 18.52% in study byKhan 15.38% in study ofRaagab,12.7% in the study by Biswas et al 12.12% in the study by Seal et al[10][11][12]…”

mentioning

confidence: 95%

Relaparotomy after caesarean section: a retrospective observational study in a tertiary medical college

Das

Sarkar

Roy

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Background: Relaparotomy is the term which defines operations performed within 60days after the initial surgery. Ralaparotomy following caesarean section may happen and that’s why a study was done to evaluate the risk factors, indications, procedures done during relaparotomy after caesarean section.Methods: A retrospective observational study was conducted in the department of obstetrics and gynaecology in burdwan medical college and hospital for a period of 3years from 1June 2019 to 31 May 2022. Total 32 cases required relaparotomy following caesarean section.Results: In this study, there were 25,527 caesarean deliveries out of 56,145 total deliveries over 3years time period. Among caesarean deliveries 32 cases underwent relaparotomy (0.12%). In most of the cases relaparotomies were due to intraperitoneal haemorrhage, rectus sheath hematoma, postpartum haemorrhage. Indications of cesarean section were severe preeclampsia, non-progress of labour, abruption, post cesarean section with scar tenderness, meconium-stained liquor with fetal distress. Most of the women were in the age group of 20-30 years. Resuturing of the bleeding points were done in most of the cases.Conclusions: As a lifesaving procedure, decision of relaparotomy should be taken as soon as possible. Proper hemostasis need to be ensured before closure of abdomen, as intraperitoneal haemorrhage is the most common indications for relaparotomy.

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“…Although the safety of CS has significantly increased, some risks and complications remains associated with this important operation [1] . In some cases complications, conservative measures fails and the patient needs to return to the operating theater for reopening the abdomen [2] . The word "re-laparotomy" (RL) indicates a laparotomy carried out inside 60 days after the first operation for the primary disorder [3] .…”

Section: Introductionmentioning

confidence: 99%

Relaparotomy after caesarean section

Reddy¹,

Rajaratnam²

2020

Int. J. Clin. Obstet. Gynaecol.

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Relaparotomy after cesarean section do happen and a study was done to critically evaluate the relaparotomy cases following the cesarean delivery at a tertiary medical centre. The study was conducted for a period of two years. The database of exploratory laparotomy following primary operation had been collected. Obstetric patients requiring re-laparotomy after primary surgery within 6 weeks of cesarean section were analyzed. A total of 10 cases underwent relaparotomy of which 8 had CS done at this institute and 2 had been referred from a peripheral health centre. The prevalence rate of relaparotomy was 0.77%. The most common complication requiring relaparotomy were sepsis and hemorrhage. During relaparotomy the most common intervention was resuturing of the uterine incision. Emergency relaparotomy is a lifesaving procedure and every obstetrician should be able to tackle effectively the different complications related to the surgery.

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Relaparotomy after Cesarean Section : Experience from a Tertiary Referral and Teaching Hospital of Bangladesh

Cited by 6 publications

References 5 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: a retrospective observational study in a tertiary medical college

Relaparotomy after caesarean section

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