Research Article
Volume 8 Issue 11 - 2021
Factors Influencing the Mortality of Early Reoperations Following Laparotomies at Kamenge University Teaching Hospital in Burundi
Jean Claude Mbonicura1,3*, Sylvain Niyonkuru2, Clovis Paulin Baramburiye1,3, Yves Bizoza1, François Nduwimana1, Emile Horugavye1 and Ferdinand Niyonzima1
1General Surgery, Kamenge University Teaching Hospital, University of Burundi, Bujumbura, Burundi
2General Surgery, Kira Hospital, Bujumbura, Burundi
3General Surgery, College of Surgeons of Eastern Central and Southern Africa, Tanzania
*Corresponding Author: Jean Claude Mbonicura, General Surgery, Kamenge University Teaching Hospital, University of Burundi, Bujumbura, Burundi.
Received: September 14, 2021; Published: October 20, 2021


Aim: Identify the factors which influence the mortality of early reoperations following laparotomies at Kamenge University Teaching Hospital (KUTH).

Patients and Methods: It is a retrospective study analyzing on ten years. We have analyzed medical records of patients who had a reoperation during the same hospital stay or in the 30 days following the primary surgery.

Results: During the study period, 1249 patients underwent laparotomy and 48 of them (3.84%) have been reoperated with an overall mortality rate of 18.75%. The indications of the reoperation were mainly clinical, and the main ones were post-op peritonitis in 43.75% with a mortality rate of 14.5%, anastomotic leaks in 12.5% of the patients and an associated mortality of 60%, intestinal obstruction and surgical site infection in 12.5% of the cases both and severe hemorrhage in 10.41% of the patients with a mortality rate of 25%. The overall mortality rate was 18.75% and was also the highest in groups with advanced age, patients operated urgently, and patients reoperated early compared to the primary surgery.

Conclusion: Advanced age, septic and hemorrhagic complications, procedures performed urgently with unprepared patients and the short time span between the primary surgery and the reoperation are the main factors increasing the mortality rate of early reoperations following laparotomies. This rate which is not negligeable could be decreased by avoiding some of the complications leading to a reoperation in the first place such as septic and hemorrhagic complications sometimes due to a care quality which is not always optimal especially in low resource areas.

Keywords: Mortality; Laparotomies; Kamenge University Teaching Hospital; Burundi


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Citation: Jean Claude Mbonicura., et al. “Factors Influencing the Mortality of Early Reoperations Following Laparotomies at Kamenge University Teaching Hospital in Burundi”. EC Gastroenterology and Digestive System 8.11 (2021): 34-38.

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