Cilt 4, Sayı 5, Sayfalar 35 - 43 2017-05-31

Evaluation of factors that affecting mortality in urgent redo-laparotomies

Erdal Uysal [1] , Kadir Serkan Turel [2] , Efe Sezgin [3]

83 75

Objective: The aim of this study was to investigate the factors that affect mortality in patients undergoing Urgent abdominal redo-laparatomies (UARLs) and to analyze the common indications and operative,demograhic and clinical characteristics in UARLs.


Material and Methods: Our study was designed as a retrospective, observational and multi-centric study. A total of 155 patients from two separate clinics undergoing urgent, unplanned redo-laparatomy were included in the study. The data obtained from all clinics were collected and and the relations of the demographic, clinical and operational factors with the mortalities of primary surgery and multiple UARLs were analyzed.


Results: Mortality was observed in 42 (27%) patients. The most frequent causes of mortality were sepsis and multi-system organ failure in 23 (53.4%) patients. The relationships between the number of redo-laparotomy presence of blood transfusion,  older age,classification of surgery  and mortality were significant (p<0.05).


Conclusion: Sepsis and multi-organ failure were the most frequent cause of mortality in our study as well, with a rate of 53.4 %. No significant relationship was observed between mortality and initial surgery under emergency conditions and presence of comorbidity.  Redolaparatomies inevitable in some clinical situations. Since multiple redolaparatomies are associated with mortality , it is necessary to avoid complications during initial surgery to reduce UARLs. Major surgery operation UARLs in elderly people should be avoided. Finally, the surgeon should also make the UARLs decision at the right time.

Urgent,redo-laparatomy,mortality
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Konular Sağlık Bilimleri
Dergi Bölümü Orjinal Makale
Yazarlar

Yazar: Erdal Uysal
E-posta: drerdaluysal@hotmail.com
Kurum: Sanko University, Medical Faculty, Dept. of General Surgery, Gaziantep
Ülke: Turkey


Yazar: Kadir Serkan Turel
E-posta: drkserkanturel@gmail.com
Kurum: Afyon State Hospital, Dept. of General Surgery, Afyon
Ülke: Turkey


Yazar: Efe Sezgin
E-posta: efeszgn0@gmail.com
Kurum: Izmir Institute of Technology, Engineering Faculty, Department of Food Engineering, Izmir
Ülke: Turkey


Bibtex @araştırma makalesi { msd315378, journal = {Medical Science and Discovery}, issn = {2148-6832}, address = {Lycia Press Inc.}, year = {2017}, volume = {4}, pages = {35 - 43}, doi = {10.17546/msd.315378}, title = {Evaluation of factors that affecting mortality in urgent redo-laparotomies}, language = {en}, key = {cite}, author = {Turel, Kadir and Uysal, Erdal and Sezgin, Efe} }
APA Uysal, E , Turel, K , Sezgin, E . (2017). Evaluation of factors that affecting mortality in urgent redo-laparotomies. Medical Science and Discovery, 4 (5), 35-43. DOI: 10.17546/msd.315378
MLA Uysal, E , Turel, K , Sezgin, E . "Evaluation of factors that affecting mortality in urgent redo-laparotomies". Medical Science and Discovery 4 (2017): 35-43 <http://dergipark.gov.tr/msd/issue/29522/315378>
Chicago Uysal, E , Turel, K , Sezgin, E . "Evaluation of factors that affecting mortality in urgent redo-laparotomies". Medical Science and Discovery 4 (2017): 35-43
RIS TY - JOUR T1 - Evaluation of factors that affecting mortality in urgent redo-laparotomies AU - Erdal Uysal , Kadir Serkan Turel , Efe Sezgin Y1 - 2017 PY - 2017 N1 - doi: 10.17546/msd.315378 DO - 10.17546/msd.315378 T2 - Medical Science and Discovery JF - Journal JO - JOR SP - 35 EP - 43 VL - 4 IS - 5 SN - 2148-6832-2148-6832 M3 - doi: 10.17546/msd.315378 UR - http://dx.doi.org/10.17546/msd.315378 Y2 - 2017 ER -
EndNote %0 Medical Science and Discovery Evaluation of factors that affecting mortality in urgent redo-laparotomies %A Erdal Uysal , Kadir Serkan Turel , Efe Sezgin %T Evaluation of factors that affecting mortality in urgent redo-laparotomies %D 2017 %J Medical Science and Discovery %P 2148-6832-2148-6832 %V 4 %N 5 %R doi: 10.17546/msd.315378 %U 10.17546/msd.315378