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Reoperative Surgery in Acute Setting: When To Go Back?

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Surgical Decision Making

Abstract

The return to the operating room in the perioperative settings, or in the acute settings, has not been defined well, despite the fact that it happens often, although the exact frequency how often we take the patient back is not known. The reason why we need to bring the patient back to the operating room can be divided into planned and unplanned procedures. The unplanned procedures can be classified further into acute (mostly due to bleeding, such as tamponade following CABG or any other major surgery), major infection or some other sort of wound catastrophe (dehiscence), intestinal obstruction or anastomotic leak that may become evident perioperatively. The planned return to the operating room has been described a bit better (second look laparotomy for example, damage control as described in Chap. 10, and planned laparotomy for the management of major intraperitoneal infection). In this chapter we will attempt to address, mainly, unplanned laparotomy and decision-making process, but we will also analyze the planned return to the operating room.

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References

  1. Lepor H, Nieder AM, Ferrandino MN. Intraoperative and post-operative complications of radical retropubic prostatectomy in a consecutive series of 1,000 cases. J Urol. 2001;166(5):1729–33.

    Article  CAS  PubMed  Google Scholar 

  2. Nelson J. Reoperations within the first 30 days after pelvic surgery. In: Billingham RP, Kobashi K, Peters WA, editors. Reoperative pelvic surgery. New York: Springer; 2009.

    Google Scholar 

  3. Augustin T, Aminian A, Romero-Talamas H, Rogula T, Schauer PR, Brethauser SA. Reoperative surgery for management of early complications after gastric bypass. Obes Surg. 2016;26(2):345–9.

    Article  PubMed  Google Scholar 

  4. Sharrock AE, Barker T, Yuen HM, Rickard R, Tai N. Management and closure of the open abdomen after damage control laparotomy for trauma. A systematic review and meta-analysis. Injury 2015; Sept 30. [Epub ahead of print].

    Google Scholar 

  5. Dubose JJ, Scalea TM, Holcomb JB, Shrestha B, Okoye O, Inaba K, Bee TK, Fabian TC, Whealan J, Ivatury RR. AAST Open Abdomen Study Group. J Trauma Acute Care Surg. 2013;74(1):113–20.

    Article  PubMed  Google Scholar 

  6. Jenoff JS, Kim P. Management of the difficult abdomen and damage control surgery. In: Flint L, Meridith JW, Schwab CW, Trunkey DD, Rue LW, Taheri PA, editors. Trauma: contemporary principles and therapy. Philadelphia: Lippincott Williams & Wilkins; 2008.

    Google Scholar 

  7. Brundage SI, Jurkovich GJ, Hoyt DB, Patel NY, Ross SE, Marburger R, Stoner M, Ivatury RR, Ku J, Rutherfort EJ, Maier RV. Stapled versus sutured gastrointestinal anastomoses in the trauma patient: a multicenter trial. J Trauma Acute Care Surg. 2001;51:1054–61.

    Article  CAS  Google Scholar 

  8. Catena F, La Donna M, Gagliardi S, Avanzolini A, Taffurelli M. Stapled versus hand-sewn anastomosis in emergency intestinal surgery: results of a prospective randomized study. Surg Today. 2004;34:123–6.

    Article  PubMed  Google Scholar 

  9. Farrah JP, Lauer CW, Bray MS, McCartt JM, Chang MC, Meredith JW, Miller PR, Mowery NT. Stapled versus hand-sewn anastomosis in emergency general surgery: a restrospective review of outcomes in a unique patient population. J Trauma Acute Care Surg. 2013;74(5):1187–94.

    Article  PubMed  Google Scholar 

  10. Shekarriz H, Eigenwald J, Shekarriz B, Upadhyay J, Shekarriz J, Zoubie D, Wedel T, Wittenburg H. Anastomotic leak in colorectal surgery: are 75% preventable? Int J Colorectal Dis. 2015;30(11):1523–31.

    Article  Google Scholar 

  11. Hyman N, Manchester TL, Osler T, et al. Anastomotic leaks after intestinal anastomosis: it’s later than you think. Ann Surg. 2007;245(2):254–8.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Nicksa GA, Dring RV, Johnson KH, et al. Anastomotic leaks: what is the best diagnostic imaging study? Dis Colon Rectum. 2007;50(2):197–203.

    Article  CAS  PubMed  Google Scholar 

  13. Young JL, Lachance JA, Rice LW, Foley EF. Reoperation and management of postoperative pelvic hemorrhage and copagulopathy. In: Billingham RP, Kobashi K, Peters WA, editors. Reoperative Pelvic Surgery. New York: Springer; 2009.

    Google Scholar 

  14. Oderich GS, Panneton JM, Hofer J, et al. Iatrogenic operative injuries of abdominal and pelvic veins: a potentially lethal complication. J Vasc Surg. 2004;39(5):931–6.

    Article  PubMed  Google Scholar 

  15. Haneya A, Diez C, Kolat P, Suesskind-Schwendi M, Ried M, Schmid C, Hirt SW. Re-exploration for bleeding or tamponade after cardiac surgery: impact of timing and indication on outcome. Thorac Cardiovasc Surg. 2015;63(1):51–7.

    PubMed  Google Scholar 

  16. Duron JJ, Da Silva NJ, Tezenas du Montcel S, Berger A, Muscari F, Hennet H, Veyrieres M, Hay JM. Adhesive postoperative small bowel obstruction: incidence and risk factors of recurrence after surgical treatment. Ann Surg. 2006;244:750–7.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Chessin DB, Enker BD, Wong WD, Guillem JG. Complications after preoperative combined modality therapy and radical resection of locally advanced rectal cancer: a 14 year experience from a specialty service. J Am Coll Surg. 2005;200:876–82.

    Article  PubMed  Google Scholar 

  18. Pickleman J, Lee RM. The management of patients with suspected early postoperative small bowel obstruction. Ann Surg. 1989;210(2):216–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Bauer J, Keeley B, Krieger B, et al. Adhesive small bowel obstruction: early operative versus observational management. Am Surg. 2015;81:614–20.

    PubMed  Google Scholar 

  20. McCormick JT, Simmang CL. Reoperation following minimally invasive surgery: are the “rules” different? Clin Colon Rectal Surg. 2006;19(4):217–22.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Duron JJ, Hay JM, Msika S, et al. Prevalence and mechanisms of small intestinal obstruction following laparoscopic abdominal surgery: a retrospective multicenter study. Arch Surg. 2000;135(2):208–12.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Rifat Latifi M.D., F.A.C.S. .

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Windell, E.M., Latifi, R. (2016). Reoperative Surgery in Acute Setting: When To Go Back?. In: Surgical Decision Making. Springer, Cham. https://doi.org/10.1007/978-3-319-29824-5_10

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  • DOI: https://doi.org/10.1007/978-3-319-29824-5_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29822-1

  • Online ISBN: 978-3-319-29824-5

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