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REVEALING THE CONSEQUENCE OF PATIENTS AFTER RE-LAPAROTOMY ON DEMAND IN SECONDARY PERITONITIS AND ITS MORTALITY AND MORBIDITY: A DESCRIPTIVE STUDY

Dr Muhammad Sajjad, Dr Said Ali, Dr Ejaz Ahmad

Objective: To assess the outcome of patients with secondary peritonitis in terms of mortality and morbidity after Re-laparotomy on demand. Study design: A descriptive study. Location and duration of work: This Descriptive study was conducted in the Surgery Department of Lady Reading Hospital, Peshawar from January 2018 to January 2019. Findings: A total of 30 patients with a male to female ratio of 1: 1.3 were selected for the study. The patients mean age was 31.47. Intra-abdominal abscess was the most important and frequently indication for Re-Laparotomy in 63%. The most common complication was infection of the wound by 90%. The time interval between adverse effect variables, index surgery, laparotomy and APACHE II score = 15 was more than a week, with sepsis, multiple organ dysfunction and multiple laparotomies present. Approximately 41% is the mortality rate. Conclusion: For removing recurrent or persistent infection Re-laparotomy is a beneficial method to reduce mortality and morbidity if performed correctly, and the decision is made after close and careful supervision. Key words: Morbidity, Re-Laparotomy, APACHE II

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