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Causal factors of relaparotomies in surgery.
Authors: Abuov S.M., Zhantalinova N.A., Bosynbek G. K., Bektemir A.E., Aytel R.M., Konakbayev T.R., Taypakova Zh.S., Bimende Zh.A., Kaiumov. S.S.
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Despite the development of medicine, introduction of new technologies, the relevance of the relaparotomies's problem re-mains high, especially in emergency surgery. Relaparotomies frequency ranges from 0.5 to 7% of the total number of surgical procedures performed on the abdominal organs. Mortality after relaparotomii remains high, ranging from 23.6 to 71.2%. In the observations submitted by the main numbers of relaparotomies were performed demandly, which accounted for 16(84.2%), relaparotomii "by program" - 3 (15.8%). In 6 (31.6%) cases occurred anastomosis suture failure and stitched ulcers. Whereas in 6 (31.6%) patients, the cause of re-intervention was the accession of a new disease (perforation of the intestine in acute ulcers was found in 3 patients, early adhesive intestinal obstruction in 3patient). In 3(15.8%) cases, there was progression of the underly¬ing pathology (thrombosis of mesenteric vessels). In 2 (10.5%) cases, was made a tactical error, not correctly selected volume of operations at primary surgery, in 1 case (5.3%) - eventeratsiya bowel revealed no complications in the abdomen and in 1 case (5,3%) due to overdiagnosis was unjustifiedrelaparotomy. 3 died (15.8%), recovered - 16 (84.2%), in one of them formed enteric fi stula, which closed own.