A STUDY TO FIND OUT THE DIFFERENT CAUSES OF REEXPLORATION OF EMERGENCY EXPLORATORY LAPAROTOMY CASES IN A TERTIARY CARE HOSPITAL IN EASTERN INDIA � A TWO YEARS EXPERIENCE.

Dr.Arkaprovo Roy

Volume : V, Issue : VII, July - 2016

A STUDY TO FIND OUT THE DIFFERENT CAUSES OF REEXPLORATION OF EMERGENCY EXPLORATORY LAPAROTOMY CASES IN A TERTIARY CARE HOSPITAL IN EASTERN INDIA � A TWO YEARS EXPERIENCE.

Dr. Arkaprovo Roy

Abstract :

Exploratory laparotomy is one of the most common operations performed in our everyday emergency operation theatre. In our institution we had done 1007 exploratory laparotomy between 2009 and 2010, out of which we had to reopen 28 cases. We tried to find out the causes of reexploration in terms of co morbidity of the patients, age of the patients, day of presentation , type of disease and also the experience of the surgeon. We found that experience of the surgeon had a great effect on outcome of the surgery. The rate of reexploration is highest when done by3rd year junior residents (JR), and lowest when done by residential surgeon.It has also been found that incidence of relaparotomy is also increased with the advancing age of the patient. Highest number of reexploration had to be done in malignant large bowel growth, which is 5(17.86%) in number. We had 4 hypertensive patients (14.29%) and 6 diabetic patients (21.44%) who underwent reexploration and 2 patients (7.14%) were both diabetic and hypertensive underwent reexploration. There were 6 relaparotomy patients (21.43%) who presented before 2 days, 10 relaparotomy patients (35.80%) who presented within 2 – 4 days