Relaparotomy after caesarean section

Authors

  • Reena Shrestha Department of Obstetrics and Gynaecology, Patan Academy of Health Sciences, Lalitpur
  • Laxmi RC Karki Department of Obstetrics and Gynaecology, Patan Academy of Health Sciences, Lalitpur
  • Sarada Duwal Shrestha Department of Obstetrics and Gynaecology, Patan Academy of Health Sciences, Lalitpur
  • Anagha Pradhan Malla Department of Obstetrics and Gynaecology, Patan Academy of Health Sciences, Lalitpur
  • Binita Pradhan Department of Obstetrics and Gynaecology, Patan Academy of Health Sciences, Lalitpur
  • Alka Singh Department of Obstetrics and Gynaecology, Patan Academy of Health Sciences, Lalitpur
  • WuFei Shah Department of Obstetrics and Gynaecology, Patan Academy of Health Sciences, Lalitpur
  • Padma Gurung Department of Obstetrics and Gynaecology, Patan Academy of Health Sciences, Lalitpur
  • Sushma Lama Department of Obstetrics and Gynaecology, Patan Academy of Health Sciences, Lalitpur

DOI:

https://doi.org/10.3126/jpahs.v3i2.20273

Keywords:

Caesarean section, Pyoperitoneum, Relaparotomy

Abstract

Introductions: Relaparotomy after caesarean section is rare and literature are scanty. The decision requires a good clinical judgment to save mother’s life. Our objective was to analyse the outcome of relaparotomy after caesarean section at Patan Hospital.

Methods: This was a cross sectional study done at the department of obstetrics and gynaecology, Patan Hospital, Lalitpur, Nepal. Charts of the caesarean section from January 2010 to December 2014 were reviewed to analyze the cases of relaparotomy for incidence, indication, management and outcome. Descriptive analysis was done using SPSS.

Results: During 5 years, there were 17,538 caesarean deliveries, 39.15% of total 44,788 deliveries. Relaparotomy was done in 15 cases, 0.085% of 17,538 caesarean. Mean age was 26.6±4.7 years, 14 (93.3%) were between 25-35 years, 12 (80%) were primigravida. Indications for relaparotomy were pyoperitoneum (40%), hemoperitoneum (33.3%) and rectus sheath hematoma (26.7%). Out of 15 relaparotomies, 14 were conservative surgery and one required hysterectomy. There was no maternal mortality.

Conclusions: Relaparotomy rate in our study was eight in 10,000. Those requiring relaparotomy had fetal distress as indication for first caesarean.

Journal of Patan Academy of Health Sciences. 28 2016 Dec;3(2):28-31

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Published

2016-12-01

How to Cite

Shrestha, R., Karki, L. R., Shrestha, S. D., Malla, A. P., Pradhan, B., Singh, A., Shah, W., Gurung, P., & Lama, S. (2016). Relaparotomy after caesarean section. Journal of Patan Academy of Health Sciences, 3(2), 28–31. https://doi.org/10.3126/jpahs.v3i2.20273

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Section

General Section: Original Articles