Outcome of trauma-related emergency laparotomies, in an era of far-reaching specialization

Table 5 Unplanned relaparotomy indications

	Time to index laparotomy (hours)
	0–2	2–6	6–24	> 24
Total number of patients	190	17	24	37
Total number of relaparotomy	38	5	3	12
Hemodynamic instability^a	22	0	2	1
- Insufficient source control	6	0	1	1
- Rebleed after resuscitation	10	0	1	0
- Coagulopathy	6	0	0	0
Sepsis
- Anastomosis leakage	7	1	1	3
- Secondary extension of	3	0	0	3
- contusion over time	2	1	1	0
- Cecum blowout	2	0	0	0
Intra-abdominal abscess	1	1	0	1
Abdominal compartment syndrome	2	0	0	0
Other	10	2	0	4

Indication for unplanned relaparotomy in 58 of all patients after emergency laparotomy. Most of the relaparotomies were performed within 2 h after the index laparotomy or after 24 h. There were several indications for the relaparotomies
^aMultiple answers possible

ISSN: 1749-7922