Relaparotomy after caesarean section

Abstract

Relaparotomy after cesarean section do happen and a study was done to critically evaluate the relaparotomy cases following the cesarean delivery at a tertiary medical centre. The study was conducted for a period of two years. The database of exploratory laparotomy following primary operation had been collected. Obstetric patients requiring re-laparotomy after primary surgery within 6 weeks of cesarean section were analyzed. A total of 10 cases underwent relaparotomy of which 8 had CS done at this institute and 2 had been referred from a peripheral health centre. The prevalence rate of relaparotomy was 0.77%. The most common complication requiring relaparotomy were sepsis and hemorrhage. During relaparotomy the most common intervention was resuturing of the uterine incision. Emergency relaparotomy is a lifesaving procedure and every obstetrician should be able to tackle effectively the different complications related to the surgery.