Re-laparotomy after cesarean section.
OBJECTIVE
To assess the rate, indications, and outcome of re-laparotomy after cesarean section in the early postoperative period.


METHODS
A retrospective observational study during a 121-month period.


METHODS
A tertiary care university center.


METHODS
A cohort of 3380 women who underwent cesarean section out of 18,609 parturients.


METHODS
Incidence of re-laparotomy after cesarean section in the early postoperative period.


RESULTS
The incidence of re-laparotomy after cesarean section was 0.53% (18/3380). Of these 18 women, 12 (66%) were operated for hemorrhage, 3 (17%) for eventration, and 3 (17%) for formation of intra-abdominal abscess. Hysterectomy was required in one case (5.5%). We had no maternal mortalities.


CONCLUSIONS
Although the incidence of re-laparotomy after cesarean in the early postoperative period is low and the outcome is favorable, several measures must be undertaken to reduce the need for re-laparotomy.
Lurie
Samuel
S
Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon, Israel. lurie@nashim.net
Sadan
Oscar
O
Golan
Abraham
A
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D012086:Reoperation; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000601:surgery