Abstract
Relaparotomy is an important indicator of the safety and quality of laparotomy in any surgical setting. Despite this, its measure in many low- and middle-income countries is scarce, Tanzania included. Understanding its existence will help curb it and mitigate its adverse outcomes by systematic improvement strategies. This study, therefore, aimed to examine characteristics of patients undergoing on-demand relaparotomy and their management outcomes at a tertiary level hospital in Tanzania. A cross-sectional descriptive study was carried out in the department of surgery of Muhimbili National Hospital for one year in 2017-2018. All patients (of all ages and sex) who required an on-demand relaparotomy within 60 days of their index laparotomy were identified for inclusion into the study. Data were collected regarding patient's demography, clinical characteristics, index surgical procedure, indication for relaparotomy, number of re-laparotomies, complications during re-laparotomy, ICU admission, and mortality. Data were entered into SPSS version 23 for analysis where continuous variables were summarized as means with standard deviations and categorical variables summarized as the frequency with proportions. Ethical approval for the au...Continue Reading
References
Jan 7, 2004·World Journal of Surgery·Robert R HutchinsNeil C Soni
Jun 9, 2006·World Journal of Emergency Surgery : WJES·Haluk Recai UnalpMehmet Ali Onal
Aug 23, 2007·JAMA : the Journal of the American Medical Association·Oddeke van RulerUNKNOWN Dutch Peritonitis Study Group
Apr 21, 2009·Surgery·Marc SchiesserPierre-Alain Clavien
May 29, 2010·Critical Care : the Official Journal of the Critical Care Forum·Brent C OpmeerMarja A Boermeester
Jan 12, 2011·Critical Care : the Official Journal of the Critical Care Forum·Inipavudu BaelaniMartin W Dünser
Jun 28, 2011·AJR. American Journal of Roentgenology·Carmel G CroninRonald S Arellano
Jan 3, 2013·Journal of Surgical Oncology·Marco La TorreGiovanni Ramacciato
Feb 14, 2013·Surgical Endoscopy·Marek WrońskiIreneusz W Krasnodębski
Jan 25, 2014·International Journal of Critical Illness and Injury Science·Anirban Hom ChoudhuriMritunjay Kumar
May 2, 2014·Annals of Surgical Treatment and Research·Seung-Jin KwagSeong-Taek Oh
Jun 28, 2015·American Journal of Surgery·Matthias F ScribaDamian L Clarke
Aug 8, 2015·The Indian Journal of Surgery·Rabin KoiralaSamiran Nundy
May 11, 2016·World Journal of Surgery·M F ScribaD L Clarke
Jan 19, 2017·Critical Care Medicine·Andrew RhodesR Phillip Dellinger
Jul 26, 2017·Surgery·Eduardo García-GraneroAlejandro Espí