[Abdominal unplanned reoperations in the Service of General Surgery, University Hospital of Puebla].
BACKGROUND
The reoperation is considered as the access to the abdominal cavity before complete healing of the surgical wound from a previous operation within the first 60 days after the first procedure. It occurs in 0.5 to 15% of patients undergoing abdominal surgery and generates significant increase in morbidity and mortality in patients undergoing abdominal surgery.


OBJECTIVE
Identify the number of unplanned abdominal surgical reoperations and identify the causes of these unplanned reoperations were performed in our department.


METHODS
This is a retrospective study conducted at the University Hospital of Puebla in the period between April 2009 to February 2012, a total of 1,709 abdominal surgeries performed by the Service of General Surgery were included.


RESULTS
Ninety-seven cases of reoperation of which 50 cases were not planned surgery cases were identified; 72% (36 cases) from emergency operations, and 28% of elective surgery.


CONCLUSIONS
The incidence found in our study is low compared to similar studies. Prospective studies and focus on risk factors and causes of unplanned reoperations are required, in order to know them in detail and, consequently, reduce its incidence and morbidity and mortality they add.
Servicio de Cirugía General, Hospital Universitario de Puebla, Puebla, Pue., México.
Samuel Báez
SB
León-Asdrúbal
Servicio de Cirugía General, Hospital Universitario de Puebla, Puebla, Pue., México.
Juan Carlos
JC
Juárez-de la Torre
Servicio de Cirugía General, Hospital Universitario de Puebla, Puebla, Pue., México.
Fernando
F
Navarro-Tovar
Servicio de Cirugía General, Hospital Universitario de Puebla, Puebla, Pue., México.
Mónica
M
Heredia-Montaño
Servicio de Cirugía General, Hospital Universitario de Puebla, Puebla, Pue., México.
José Eduardo
JE
Quintero-Cabrera
D000005:Abdomen / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008800:Mexico; D008875:Middle Aged; D012086:Reoperation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012307:Risk Factors; D055815:Young Adult