Early re-operations after gynecological and obstetrical surgery -a five years

Objective(s) To study the incidence, indications and outcome of reoperations done within 7 days of primary gynecological and obstetrical surgery in a teaching institution in last five years. Method(s) Aretrospective analysis of early reoperations after primary gynecological and obstetrical surgery in last five years was done. Result(s) Total incidence of reoperations was 0.603%. Most common complications requiring reoperation were intraperitoneal hemorrhage(48.93%) followed by rectus sheath hematoma(21.28%), sepsis(12.76%), intestinal complications(6.39%), burst abdomen(6.39%) and post partum hemorrhage(4.25%). Women who underwent primary surgeries for gynecological and obstetrical conditions required reoperations in 0.77% & 0.45% cases respectively and mortality was in 10.71% & 15.78% cases respectively. Conculstion(s) Early reoperations were required in six cases per 1000 primary surgeries. Though more women required reoperations after gynecological surgeries, mortality was more in reoperations done after primary obstetrical surgeries. Pregnancy associated or related complications, adequate attention during primary surgery and multidisciplinary approach are the important factors which may influence the outcome of primary surgeries.