Study of Prognostic Risk Factors for Relaparotomy in University Hospitals of LUBUMBASHI: Analysis of Biological and Therapeutic Clinical Criteria
Catherine Saleh Ugumba1*, Marc Kashal Kasong1, Vincent de Paul Kaoma Cabala1, Dimitri Kanyanda Nafatalewa1, Augustin Kibonge Mukakala1,2, Trésor Kibangula Kasanga1, Gabriel Wakunga Warach1 and Etienne Odimba BF Koshe1
1Department of Surgery, University of Lubumbashi, Faculty of Medicine, City of Lubumbashi, Province of Haut-Katanga, Democratic Republic of the Congo
2Department of Surgery, Official University of Bukavu, Faculty of Medicine, Democratic Republic of the Congo
*Corresponding Author: Catherine Saleh Ugumba, Department of Surgery, University of Lubumbashi, Faculty of Medicine, City of Lubumbashi, Province of Haut-Katanga, Democratic Republic of the Congo.
March 21, 2022; Published: June 02, 2022
Early relaparotomy is a surgical emergency with a serious prognosis. They are daily practice all over the world. The objective of this research was to identify the widely accessible socio-demographic, clinical and therapeutic variables that are prognostic factors of the high risk of perioperative morbidity of laparotomy. From January 2012 to December 2013, we conducted a prospective cohort study at the university hospitals of Lubumbashi. This study enabled us to collect 304 patient records, of which 248 had progressed normally and 56 of them had become complicated and had been relaparotomized 68 times. There were 38 men and 18 women. The parameters analyzed were:
- Age less than 5 years which multiplied by 8 the risk of being reoperated. (OR: 7.5; CI: 2.5-26.13 and p = 0.001).
- Being a carrier of cancer multiplied by 24 the risk of complications. (OR: 23.5; CI: 4.04-136.69 and p = 0.000)
- Urgency multiplied the risk of relaparotomy by 4. (OR: 3.85; CI: 1.47-10.06 and p = 0.003)
- Being operated on by an unqualified person multiplied by 3 the risk of being operated on again. (OR: 2.91; CI: 1.60-5.28 and p = 0.000). It appears from this work that the frequency of reoperated postoperative complications was high in children under 5 years old, when cancer is associated as a comorbidity and also when the management of emergency laparotomy is done by an inexperienced surgeon.
Keywords: Prognostic factors, Risk of relaparotomy, Poor hospitals.
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