Tera H, Aberg C
Acta Chir Scand. 1975;141(7):637-44.
A review of the literature covering c. 158,000 laparotomies shows that acute relaparotomy has an incidence of 1.0% and a mortality rate of 43%. Over and above this, rupture of the abdominal wound, which illogically is often considered separately, occurs in 0.6% of all laparotomies and carries a mortality of 34% in the 179,000 laparotomies reviewed in this article. Our own series of 121 relaparotomies in 16,719 cases of laparotomy (an incidence of 0.72%, including burst abdomen) with a 28.1% mortality is discussed. Indications for relaparotomy have included haemorrhage (19%), ileus (25%), peritonitis (32%), wound rupture (22%), and other causes (2%).
一项涵盖约158,000例剖腹手术的文献综述表明，急性再次剖腹手术的发生率为1.0%，死亡率为43%。除此之外，腹部伤口破裂（这一情况常常被不合理地单独看待）在所有剖腹手术中的发生率为0.6%，在本文所回顾的179,000例剖腹手术中，其死亡率为34%。本文讨论了我们自己的系列研究，在16,719例剖腹手术中有121例再次剖腹手术（发生率为0.72%，包括腹壁裂开），死亡率为28.1%。再次剖腹手术的指征包括出血（19%）、肠梗阻（25%）、腹膜炎（32%）、伤口破裂（22%）以及其他原因（2%）。
