A STUDY ON THE INDICATIONS AND OUTCOME OF RE-LAPAROTOMY: A CROSS SECTIONAL STUDY

JPUMHS;2023:13:04,22-28. http://doi.org/10.46536/jpumhs/2023/13.04.466

Abstract

Abstract OBJECTIVES: The aim of the study was to determine the indications, morbidity and mortality of re-laparotomy. STUDY DESIGN AND SETTING: This retrospective study was conducted at surgical department of MTI- Khyber Teaching Hospital. METHODOLOGY: This study was conducted in duration of nine months from 6th January to 31 September 2023. Patients undergone Re-laparotomies within 60 days of first laparotomy, both gender, and age greater than 18 years were included in the study. Data were collected and entered in Microsoft Excel and further analyzed through SPSS-23. RESULTS: Out of total 95 patients, emergency made 62.1% while elective were 37.9% of the operated cases. Most common surgeries that needed re-laparotomy were small gut perforation (13.7%), firearm injuries (12.6%) and lower GI carcinomas (10.5%), while common indications were intra-abdominal abscess (36.5%), anastomotic leak (22%) followed by haemorrhage and dehiscence (9.5% each). The time duration between primary laparotomy and re-laparotomy ranged from 1st to 60th day with 20% on the 10th postoperative day. The complications encountered were surgical site infections (41.1%), septicemia (21.1%) and hypoalbuminemia (18.9%). CONCLUSION: The most common indications of re-laparotomy were patients of small gut perforation, firearm injuries and lower GI Carcinomas. Peritonitis following leak, laparotomy for malignancy and advanced age were associated with mortality.