Unplanned Reoperation Following Colorectal Surgery: Indications and Operations

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Alex D MichaelsCharles M Friel

Abstract

Prior studies have demonstrated a reoperation rate ranging from 5.8 to 7.6% following colorectal surgery. However, the indications for reoperation have not been extensively evaluated. We aimed to describe the indications for reoperation and associated procedures following colorectal resection. This is a retrospective cohort study of all patients undergoing colorectal resection at a single institution from 2003 to 2013. For patients who returned to the operating room, the primary indication was categorized into mutually exclusive categories and all procedures performed within 30 days of the initial operation were indexed. Univariate and multivariate analyses were performed. We identified 2793 patients who underwent colorectal operations, of which 407 (14.6%) were emergent. A total of 178 (6.7%) patients returned to the operating room. On multivariate analysis, emergent operation, malnutrition, corticosteroid use, and operative duration were independently associated with reoperation; independent functional status was protective. The most common indications for reoperation were anastomotic leak and bowel obstruction. The most common procedures performed were ostomy creation, bowel resection, and adhesiolysis. Reoperation after col...Continue Reading

References

Jan 2, 2007·Annals of Surgery·Arden M MorrisKevin G Billingsley
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Jun 16, 2009·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Andrew F Shorr, Robert C Owens
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Citations

Mar 10, 2018·Diseases of the Colon and Rectum·H Hande AydinliFeza H Remzi
Jun 28, 2021·The Journal of Surgical Research·Florence E TurrentineJohn P Davis
Jun 1, 2021·JPEN. Journal of Parenteral and Enteral Nutrition·Erin KennyDavid Allen August

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