OUTCOMES OF RELAPAROTOMY IN A TERTIARY CENTRE"- A PROSPECTIVE STUDY lntshantanu@gmail.com

 

OUTCOMES OF RELAPAROTOMY IN A TERTIARY CENTRE"- A PROSPECTIVE STUDY

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India

Oral or Poster

Relaparotomy is performed within the first 60 days of the original surgery. The objectives of this study were to evaluate the indication of relaparotomy and their outcomes.

Patients who underwent re laparotomy following a primary index laparotomy (emergency, elective) at AIIMS Bhubaneswar were included. Excluded who underwent primary index laparotomy outside the institute.

Relaparotomy was performed in 26 (5.8%) out of total of 448 laparotomy patients. Peritonitis was the most common indication, affecting 9 participants (34.6%), followed by stoma prolapse in 5 cases (19.0%). Other notable indications included bleeding, burst abdomen, and gangrenous nonfunctional stoma, each occurring in 2 cases (7.7%). The most common intra-operative finding on re-exploration were gastrointestinal perforations (n=7) followed by bowel gangrene (n=3). Post-operative complications varied among the participants, though the majority (17 participants, 65.4%) experienced no morbidity. Respiratory failure was the most common complication, occurring in 2 cases (7.7%). Other complications, each occurring in single cases, included burst abdomen, lung atelectasis, lung consolidation with respiratory failure, Multiple Organ Dysfunction Syndrome (MODS), pneumonia with lung consolidation, and Superior Mesenteric Artery (SMA) thrombosis. The mortality rate following Relaparotomy was 34.6% and the most common reason was multi organ failure with septic shock (36.36%).

Relaparotomy is a lifesaving procedure with highly favorable post operative outcomes in spite of a high mortality rate.