AN ANALYSIS OF RELAPAROTOMIES FOLLOWING OBSTETRIC AND GYNAECOLOGICAL SURGERIES IN A TERTIARY HOSPITAL IN TAMILNADU

Dr.E.Sukanya; Dr.L.Shanmugavadivu

Volume : VI, Issue : VII, July - 2017

AN ANALYSIS OF RELAPAROTOMIES FOLLOWING OBSTETRIC AND GYNAECOLOGICAL SURGERIES IN A TERTIARY HOSPITAL IN TAMILNADU

Dr. E. Sukanya, Dr. L. Shanmugavadivu

Abstract :

Aim:To analyse the relaparotomies performed in a tertiary care hospital following obstetric and gynaec surgeries done over a period of 12 months. Method:Retrospective study. Materials:Data collected from the records. Place of study: Govt.Mohan Kumaramangalam Medical College Hospital , Tamilnadu. Study period:June2015 to May 2016. Results: Total relaparotomies were 23. 83% were following caesarean section.17% were following gynaec surgeries. Most common indication was haemoperitoneum. Coagulopathy was associated with 43% of cases. Average duration of time between primary surgery and reoperation was 18.5 hrs. Total deaths were 6(26%) and all were obstetric cases. The most common cause of death was coagulopathy with multi organ failure. Conclusion: Relaparotomy is life saving in most occasions and has high morbidity and mortality. Relaparotomies can be prevented to some extent by adopting simple but important techniques during the surgical procedure and intense monitoring during the immediate post operative period .