Prevalence and factors associated with re-laparotomy among patients operated in Debre-Markos referral hospital, north west Ethiopia: Retrospective cross-sectional study

Abstract

Background: Re-laparotomy is one of the causes of morbidity and mortality among patients with abdominal surgery; unless efforts are made to prevent it in advance by identifying its potential risk factors. Objective: The study aimed to assess the prevalence and factors associated with re-laparotomy. Methods: A Retrospective cross-sectional study was conducted on 390 charts at Debre-Markos referral hospital from three hundred and ninety charts (390) from January 1, 2015, to January 30, 2017. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 22. The associated factors for re-laparotomy were identified using multivariable logistic regression. P-values 60 hrs, elective surgery, were associated with re-laparotomy at Debre-Markos referral hospital. Conclusion: The overall prevalence of re-laparotomy found to be high. Examining and identifying high-risk patients and accordingly taking all appropriate care should be done to decrease the risk of re-laparotomy. Shortening the preoperative hospital stay and duration operation further decrease the prevalence of re-laparotomy.

Keywords

• Re- laparotomy
• First surgery
• Emergency surgery