RETROSPECTIVE STUDY OF RELAPAROTOMY IN DEPARTMENT OF OBSTETRICS, GYNAECOLOGY AND FAMILY PLANNING IN, RURAL TERTIARY CARE HOSPITAL, ANDHRA PRADESH, INDIA
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2015, Vol 4, Issue 3
Abstract
Introduction: Relaparotomy is biggest dilemma to the surgeon and critical to the patient to undergo second surgery within short span of time .It is challenging both physically and mentally to the patient. Aim: Aim of the study was to determine incidence of relaparotomy and its indication, management and outcome in the department of Obstetrics, Gynaecology and Family Planning (OBGYN & FP) in NRI Medical College & General Hospital at Guntur District. Materials and Methods: It is a retrospective observational study for the duration of 3 and ½ years. Total number of surgeries -7, 718. Total number of relaparotomy- 27 which include referral cases. Results: Incidence for relaparotomy was 0.34%. Most important cause for relaparotomy was haemorrhagic causes (44.4%), followed by burst abdomen (33.3%). Relaparotomy can increase morbidity, mortality (14.8%) of patients with increased hospital stay on an average of 27 days including Intensive Care Unit, further increasing the financial burden to the patient. Conclusion: Emergency relaparotomy is a life saving procedure. Good expertise in selection of primary surgery and right surgical technique, intra operative hemostasis, control of post operative infection can avoid relaparatomy.
Authors and Affiliations
Uma Thombarapu| Assistant Professor, Department of Obstetrics & Gynaecology, NRI Medical College & General Hospital, Chinakakani, Guntur, Andhra Pradesh, India, Corresponding author email: umathombarapu@gmail.com, Prabha Devi Kodey| Professor & Head of the Department, NRI Medical College & General Hospital, Chinakakani, Guntur, Andhra Pradesh, India, GangadharaRao Koneru| Professor, Department of Obstetrics & Gynaecology, NRI Medical College & General Hospital, Chinakakani, Guntur, Andhra Pradesh, India
Keywords
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- EP ID EP11468
- DOI 10.5958/2319-5886.2015.00112.5
- Views 244
- Downloads 13
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