Predictive factors affecting mortality in relaparotomies

dc.contributor.authorBasol, Omer
dc.contributor.authorPulat, Huseyin
dc.contributor.authorZihni, Ismail
dc.contributor.authorDamar, Sedat
dc.contributor.authorOzcelik, Kazim Caglar
dc.contributor.authorEken, Huseyin
dc.contributor.authorKarakose, Oktay
dc.date.accessioned2024-04-24T17:37:47Z
dc.date.available2024-04-24T17:37:47Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim: The present study was aimed to analyze the predictive factors for the mortality of relaparatomies. Materials and method: The retrospective study included 236 patients who underwent abdominal surgery and at least one subsequent relaparatomy at Dicle University School of Medicine Department of General Surgery between January 2000 and December 2011. The evaluations included age, gender, accompanying systemic diseases, procedure used in the primary surgery and its condition (emergency/elective), total amount of blood transfusion since the primary surgery, length of time between the primary surgery and relaparatomy, date of the primary surgery, preoperative parameters (albumin, platelet, hemoglobin, leukocyte, and MPV), Glasgow coma score, length of hospital stay, length of stay in intensive care unit, and presence of shock. Results: The patients comprised 165 (69.9%) men and 71 (30.1%) women. The mean age was 55.5 +/- 17.22 years (15-89). Early stage relaparatomy (i.e. within the 21 days following the primary surgery) was performed in 231 (97.8%) patients while 5 (2.2%) patients received it in the late stage (i.e. after the 21st day). Mortality rate was 13.8% (32/231) in the early stage and 80.0% (4/5) in the late stage. The patients over 50 years old had a mortality rate of 66.6% (24/36) and the ones below 50 years old had 6.0% (12/200). It can be concluded that the need for a relaparatomy and the risk of mortality could be reduced by a well-arranged primary surgery and efficient time management in handling the postoperative complications. Nevertheless, if needed, relaparatomy could be life-saving when performed at the correct time. Conclusion: The decision whether and when to perform a relaparatomy, preoperative preparation, number of laparatomies, amount of blood transfusion, and the length of period since the primary surgery are important factors for the mortality.en_US
dc.identifier.endpage14662en_US
dc.identifier.issn1940-5901
dc.identifier.issue7en_US
dc.identifier.scopus2-s2.0-84985903313
dc.identifier.scopusqualityN/A
dc.identifier.startpage14656en_US
dc.identifier.urihttps://hdl.handle.net/11468/21184
dc.identifier.volume9en_US
dc.identifier.wosWOS:000386428400278
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoenen_US
dc.publisherE-Century Publishing Corpen_US
dc.relation.ispartofInternational Journal of Clinical and Experimental Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRelaparatomyen_US
dc.subjectMortalityen_US
dc.titlePredictive factors affecting mortality in relaparotomiesen_US
dc.titlePredictive factors affecting mortality in relaparotomies
dc.typeArticleen_US

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