Haluk Recai Unalp, Erdinc Kamer
Background: Treatment of a number of complications that occur after abdominal surgeries may require that Urgent Abdominal Re-explorations (UARs), the life-saving and obligatory operations, are performed. The objectives of this study were to evaluate the reasons for performing UARs, outcomes of relaparotomies (RLs) and factors that affect mortality. Methods: Demographic characteristics; initial diagnoses; information from and complications of the first surgery received; durations and outcomes of UAR(s) performed in patients who received early RLs because of complicated abdominal surgeries in our clinic between 01.01.2000 and 31.12.2004 were investigated retrospectively. Statistical analyses were done using the chi-square and Fisher exact tests. Results: Early UAR was performed in 81 out of 4410 cases (1.8%). Average patient age was 50.46 (13–81) years with a male-to-female ratio of 60/21. Fifty one (62.96%) patients had infection, 41 (50.61%) of them had an accompanying serious disease, 24 (29.62%) of them had various tumors and 57 (70.37%) patients were operated under emergency conditions during first operation. Causes of urgent abdominal re-explorations were as follows: leakage from intestinal repair site or from anastomosis (n:34; 41.97%); hemorrhage (n:15; 18.51%); intestinal perforation (n:8; 9.87%); intraabdominal infection or abscess (n:8; 9.87%); progressive intestinal necrosis (n:7; 8.64%); stomal complications (n:5; 6.17%); and postoperative ileus (n:4; 4.93%). Two or more UARs were performed in 18 (22.22%) cases, and overall mortality was 34.97% (n:30). Interval between the first laparotomy and UAR averaged as 6.95 (1–20) days, and average hospitalization period was 27.1 (3–78) days. Mortality rate was found to be higher among the patients who received multiple UARs. The most common (55.5%) cause of mortality was sepsis/multiple organ failure (MOF). The rates for common mortality and sepsis/MOF-dependent mortality that occurred following UAR were significantly high.
@article{fcc72d5d-11a5-4e6f-8c22-77ad099c0bc7,
title={Urgent Abdominal Re-Explorations},
author={Haluk Recai Unalp and Erdinc Kamer},
year={2004},
language={en}
}TY - JOUR TI - Urgent Abdominal Re-Explorations AU - Haluk Recai Unalp AU - Erdinc Kamer PY - 2004 LA - en ER -
The Australasian Institute of Mining and Metallurgy
This conference, held in Perth, Western Australia, focuses on the latest advancements in metallurgical processing plant design and operational strateg
A. Ryan, E. Johanson
The design of process plants for feasibility studies must address several key objectives, including feasibility and constructibility, while focusing o
Chiranjib Kumar Gupta
This book provides a comprehensive overview of the field of chemical metallurgy, addressing both common and less common metals. The objective of the v
Unknown, Unknown
This chapter discusses metal casting processes, highlighting the diversity and common characteristics among them. The objective is to elucidate the fu
Rajesh Jha, Bimal Kumar Jha
This book describes the application of artificial intelligence (AI) and machine learning (ML) concepts to develop predictive models that can be used t
David Pollard, Geoff Dunlop
The MetPlant 2008 conference focused on advancements in metallurgical processing of ores, emphasizing plant design, operation strategies, and innovati