Relaparotomy in Obstetrics and Gynaecology Department of Faridpur Medical College Hospital - Experience in One Year

Alam, Irin Parveen; Mahbuba,; Das, Shila Rani

doi:10.3329/fmcj.v7i2.13503

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…from the first operation, where as the term "early re-laparotomy" refers to laparotomy performed for the original disease within 21 days of the first operation [1]. Caesarean section (C/S) is the most common obstetric operation carried out in daily obstetric practice and the incidence has shown a dramatic increase over the last years.…”

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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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mentioning

confidence: 99%

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

Fazari¹,

Eldeen²,

Mohammed³

et al. 2015

OJOG

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“…An experienced colleague's assistance is essential at this juncture [9] . Such patients should be monitored in the intensive care unit during the post-operative time and the blood and blood products should be administered when indicated [10] .…”

Section: Discussionmentioning

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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ANALYSIS OF EARLY RELAPAROTOMY IN OBSTETRIC & GYNAECOLOGICAL SURGERIES

Zia¹,

Rafique²,

Qureshi³

et al. 2016

Annals KEMU

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Objectives: Evaluation of risk factors, frequency, causes and measures took to save patients' life in relaparotomies. Methods: This retrospective, descriptive study was conducted from January 2012 -December 2014 in a tertiary care hospital. Results: This study includes 38 cases, 29 (76.3%) obstetrical and nine (23.7%) gynaecological Relaparotomy incidence was 0.43%. It was 0.55% for obstetrical and 0.24% for gynaecological indications. The leading causes were suspected intra-abdominal bleeding in 24 (63.2%), uncontrolled postpartum haemorrhage (PPH) in nine (23.7%) and suspected abdominal Zia S. Assistant Professor, Department of Obstetrics and Gynaecology, College of Medicine, King Khalid University Abha, KSA wall bleeding in five (13.15%) cases. Major risk factor in gynaecological cases was evacuation and curettage (55.5%). In obstetric patients risk factor was previous caesarean sections (CS) 28/29(96.5%). Of 28 previous CS cases, multiple CS were in13 (46.4%), placenta previa in five (17.85%) and antepartum hemorrhage in four (14.28%) cases. Majority (92.1%) of patients underwent relaparotomy within 24 hours after primary surgery. Patients received (mean ± SD) 7.2 ± 5.4 packed red blood cells, 4.3 ± 5.5 fresh frozen plasma and 1.2 ± 2.3 platelets units. Third operation was needed in seven (18.4%) cases. Twelve (31.6%) women developed complications. There were three (7.9%) maternal deaths following relaparotomy. Conclusion: Intra-abdominal bleeding is main cause for re-operation and multiple CS is major risk factor. Recognition of risk factors, careful primary operation, involvement of seniors in complicated surgeries and early intervention can prevent majority of the relaparotomies.

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Relaparotomy in Obstetrics and Gynaecology Department of Faridpur Medical College Hospital - Experience in One Year

Cited by 3 publications

References 9 publications

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

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

Relaparotomy after caesarean section

ANALYSIS OF EARLY RELAPAROTOMY IN OBSTETRIC & GYNAECOLOGICAL SURGERIES

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