• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Early reoperation – a quality parameter for monitoring laparoscopic surgery ?

Background:The science of surgical quality measurement is evolving!
The need for unplanned early reoperation usually represents a major adverse event in the patient’s postoperative course. Unplanned early reoperations were suggested as a possible quality indicator in general surgery .There are only a small number of prospective studies concerning this issue in general surgery, and no reports about What are the acceptable, reoperation rates, post laparoscopic surgery. The aim of this review was to assess the incidence and outcome of reoperation for laparoscopic surgery as a practical quality indicator
Methods: retrospective review of medical records.
Study population: All patients operated between 1/1/98 – 17/8/2003
Inclusion criteria: Early reoperation was defined as a second surgical procedure within thirty days, required due to a complication resulting from the index operation
Results: The number of Patients meeting inclusion criteria was 335 /16071 (2.1%) of which 241/7360 (3.36%) underwent laparotomy, 47/4093 (1.12%) laparoscopy and 47/4618 (1%) other incisions. The rates of the common “classical” indications for re-exploration were all higher post laparotomy comparing to post laparoscopy (sepsis 1.37% vr 0.66%, bleeding 0.66% vr 0.2%, bowel obstruction 0.43% vr 0.07% and wound failure 0.44% vr 0.05%) .
In 15/47 (31.9%) of the post laparoscopy patients, the need for re-exploration may be related directly to a complication of the laparoscopic technique. The most common indications for reoperation in this group was missed enterotomy (8/15 53%), bile leak (3/15 20%), trocar site hernia (2/15 13%), Misinterpretation of anatomy & vascular compromise of unrelated organ (2/15 13%).
In 52/288 (18%) of the post non laparoscopic group the re-exploration was Negative/Non therapeutic versus 10/47 (21%) of the laparoscopic group.
Mortality rate was 40/335 (11.9%) of reoperated patients and 3/47(6.4%) of the post laparoscopic group. The highest mortality was seen with in the patients that were reoperated due to sepsis – 19%.
Conclusions: the unplanned re-exploration rate is lower post laparoscopic surgery than post laparotomy and it’s about 1%. This difference may be due to the severity of underlying diseases or the complexity of the procedures. The use of laparoscopic technique has a potential for unique “laparoscopy related” complications.
Most common factors affecting morbidity & mortality are the reason of reoperation.
Reoperation rates constitute a convenient parameter for monitoring quality in surgical services


Session: Podium Presentation

Program Number: S103

189

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons