title: [Relaparotomy and laparostomy in treatment of early postoperative complications].
abstract: The cause-and-effect analysis of early (within 3 weeks after the initial surgery) relaparotomy was made, using the experience of 5286 laparotomized patients, of whom 82 (1,55%) had relaparotomy. The main reason of intraabdominal complications was the initial generalized peritonitis in emergency patients (85,4%). In comparison with data of 30 years prescription, the portion of postoperative peritonitis and bleeding had increased, though the number of eventrations and postoperative ileus, on the contrary, decreased. The introduction of laparoscopy eliminated the necessity of diagnostic relaparotomies. The mortality rate after the repeated surgery had decreased from 38,0% to 30,5%.
authors.forename: V F
authors.initials: VF
authors.lastname: Tskhaĭ
authors.forename: N V
authors.initials: NV
authors.lastname: Merzlikin
authors.forename: R V
authors.initials: RV
authors.lastname: Sorokin
authors.forename: V I
authors.initials: VI
authors.lastname: Barabash
authors.forename: Iu A
authors.initials: IuA
authors.lastname: Khlebnikova
mesh_terms: D034841:Abdominal Cavity / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D004630:Emergencies; D006801:Humans; D010535:Laparoscopy / Q000592:standards / Q000706:statistics & numerical data; D007813:Laparotomy / Q000009:adverse effects / Q000592:standards / Q000706:statistics & numerical data; D019060:Minimally Invasive Surgical Procedures; D010043:Outcome and Process Assessment, Health Care; D010538:Peritonitis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000503:physiopathology / Q000601:surgery*; D058996:Quality Improvement; D012086:Reoperation / Q000401:mortality / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D012800:Siberia; D013997:Time Factors; D018084:Ultrasonography, Interventional