Online ISSN: 2515-8260

Keywords : Relaparotomy


Dr Shashiranjan Sharma, Dr Rajan Somani, Dr Nilkanth Suthar, Dr Abhishek dudhat

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 3327-3345

Laparotomy, also known as celiotomy, is performed by making a large  incision in the abdomen to gain access to the peritoneal cavity.[1]Following elective or emergency laparotomy, many patients develop complications which may require reexploration for the correction of these complications. Relaparotomy means repeat    laparotomy  after run through an abdominal operation of abdominal cavity which  is related to initial surgery .[2] Relaparotomy can be classified as early or late, radical or palliative, planned or urgent  depending on time of repeat surgery , its goal and nature of urgency respectively.[2]Relaprotomy predominately found higher in males. Co morbid diseases adds to complicated  first laparotomy and prolonged healing time  and recovery. There are many  Researches suggesting that the incidence rate of relaparotomy varies between 0.5 to 15% and incidence found higher in GI surgeries

Re-laparotomy after caesarean section in tertiary heath care hospital

Rekha R, Ashwini MS, Manjula B, Prashanth Shivappa, Lepakshi BG

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 751-756

Background: Relaparotomy (RELAP) after caesarean section is a serious complication and is associated with maternal morbidity and mortality. The data of re-laparotomy after caesarean section is limited. So in the present study, we will evaluate the risk factors and outcome of relaparotomy after cesarean section in our study population.
Objective: To identify the risk factors and complications and outcomes associated with re- laparotomy after caesarean section.
Materials and Methods: It is a retrospective study, a total of 16 relaparotomy cases were included in this study. Data such as age, parity, period of gestation, comorbidities, indication for C-section and relaparotomy, a procedure during relaparotomy and the interval between two surgeries are recorded. Using SPSS software statistical analysis is done.
Results: Incidence of re-laparotomy is found to be 0.25% and the mean age was found to be 25.5±4.2 years with 37.5% primigravidae. The Major indication for C-section and Relaparotomy was Placenta previa (37.5%) and hemoperitoneum (37.5%). The mean time interval between C-section and relaparotomy was 6.8 ± 1.2 days and the major procedure done during relaparotomy is tension suture (31.25%). The rate of recovery and maternal death was found to be 93.8% and 6.3% respectively.
Conclusion: Caesarian section will be done due to clinical complications in delivery. After C-section, women are treated conservatively, but in some cases, there is a need for relaparotomy. It will be performed when the patient’s condition is too critical. Relaparotomy is a life-saving procedure to save the life of patients. Proper care should be taken during primary and secondary surgery to prevent postoperative infection and other complications which will decrease the clinical complication and mortality rate.