Resumo

CONCEPCION QUINONES, Leonardo  e  SOSA PALACIOS, Oramis. Study of relaparotomied patients at University Hospital "Dr. Enrique Cabrera". 2006 - 2010. Rev haban cienc méd [online]. 2012, vol.11, suppl.5, pp. 640-649. ISSN 1729-519X.

Introducción: discrepancies about surgical reinterventions in patients with peritonitis still persist at present. Objective: characterize the relaparatomy in a patient who entered with peritonitis in the intensive care unit at "Enrique Cabrera" Hospital. Material and Methods: it was carried out a retrospective and descriptive study in patients who were practice a second laparatomy for peritonitis from January 2006 to December 2010. Some variables were analyzed such as: type of relaparatomy performed, indications and complications. Information was taken from the clinical records of the patients. Results: from a total of 44 patients who were relaparatomied 27 of them demanded laparatomies (RD)15 programmed relaparatomies and 2 open abdomen techniques. The principal indications of relaparatomy were: fecal peritonitis, intraabdominal abscesses and fibrinopurulent peritonitis. The most frequent complications were septic shock and infection of the surgical place. Conclusions: relaparatomy is usually carried out for fecal and fibrinopurulent peritonitis. Relaparatomy was frequently demanded arising serious complications.

Palavras-chave : relaparatomy; peritonitis; programmed relaparatomy; re- laparotomy on demand; open abdomen technique.

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