AYŞE BETÜL ALBAYRAK DENİZLİ, AYDIN ÖCAL, AHMET ESER
Southern Clinics of Istanbul Eurasia - 2024;35(4):389-392
Objective: We aimed to contribute to the literature by studying the risk factors for postcesarean relaparotomy, the morbidities that occur, and the practices performed during relaparotomy. Methods: This retrospective study included cases of relaparotomy after cesarean section performed at a training and research hospital between January 2014 and January 2021. All cases who underwent relaparotomy within 60 days after cesarean section within a 7-year period were included in the study. We divided all cases into three groups with regard to the timing of relaparotomy after cesarean section: within the first 24 hours, between day 1 and day 10, and after day 10. Results: A total of 24,293 cesarean sections were performed in our hospital. The relaparotomy rate after cesarean section was 0.18% in our clinic. Emergency cesarean sections accounted for 60.8% of our study group. The most common indication for relaparotomy was postpartum hemorrhage due to uterine atony with 41.3%. Uterine atony was followed by peritoneal bleeding with 28.2%. Hypogastric artery ligation was performed in 18 (39.1%) patients. Relaparotomy after cesarean section was most performed within the first 24 hours. Maternal mortality was not observed after relaparotomy. Conclusion: Post-cesarean relaparotomy is becoming increasingly important due to the increasing number of cesarean sections. The most common reasons for relaparotomy are uterine atony and intraperitoneal bleeding. Most relaparotomies are performed within the first 24 hours after cesarean section. The complication rate increases as the interval between cesarean section and relaparotomy increases.
