caa a22 4500 606245847 CHVBK 20210128101337.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s12262-012-0760-9 doi (NATIONALLICENCE)springer-10.1007/s12262-012-0760-9 Urgent Redo-Laparotomies: Patterns and Outcome—A Single Centre Experience [Elektronische Daten] [Rabin Koirala, Naimish Mehta, Vibha Varma, Sorabh Kapoor, Vinay Kumaran, Samiran Nundy] A proportion of the operations performed in a surgical gastroenterology department are unplanned repeat laparotomies for complications of the original procedure. We examined why, in our department, these ‘redo' laparotomies were performed and what was their outcome. We retrospectively analyzed 6530 patients operated between September 1996 - December 2010, of these 257 redo laparotomies were performed in 193(2.5%) patients. There were 138 males and 55 females who had a mean age of 42years (range 7-68years). Eighty one (42%) of the index surgeries were elective and 112 (58%) performed in the emergency situation. Pancreas was the commonest organ for the index operation {50 (25.9%)}, followed by the colon and rectum {45 (23.3%)} and the small bowel {36 (18.7%)}. Postoperative bleeding was the most common cause for re-exploration 66 (34.2%) followed by an abscess or fluid collection that required surgical drainage 57 (29.6%). The mortality rate after redo laparotomies was 33.2% with sepsis and multi-organ failure being the commonest cause of death. Urgent redo-laparotomies that are performed following complicated abdominal operations have a high mortality rate. Postoperative bleeding, intrabdominal abscess and peritonitis are the commonest cause for redo-laparotomy. Multiple redolaparotomies and associated co-morbid conditions are significant predictors of mortality. Association of Surgeons of India, 2012 Redo-laparotomy nationallicence Outcome nationallicence Koirala Rabin Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut Mehta Naimish Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut Varma Vibha Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut Kapoor Sorabh Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut Kumaran Vinay Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut Nundy Samiran Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut Indian Journal of Surgery Springer India 77/3(2015-06-01), 195-199 0972-2068 77:3<195 2015 77 12262 https://doi.org/10.1007/s12262-012-0760-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-012-0760-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Koirala Rabin Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut NATIONALLICENCE 700 1- Mehta Naimish Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut NATIONALLICENCE 700 1- Varma Vibha Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut NATIONALLICENCE 700 1- Kapoor Sorabh Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut NATIONALLICENCE 700 1- Kumaran Vinay Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut NATIONALLICENCE 700 1- Nundy Samiran Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, 110060C, New Delhi, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77/3(2015-06-01), 195-199 0972-2068 77:3<195 2015 77 12262