Early reoperation in pediatric surgery at the Teaching Hospital Gabriel Touré.

Coulibaly Yacaria, Amadou Issa, Doumbia Aliou, Coulibaly Oumar, Kamate Benoît, Djiré Mamadou Kassoum, Coulibaly Mamadou Bernard, Diaby Souleymane



Introduction: To identify complications requiring early reoperation and to determine associated risk factors in the pediatric surgery of the teaching hospital Gabriel Toure.

Materials and Methods: A retrospective study of children 0-15 years old during 4 years (January 2014 to December 2017) presenting with a postoperative complication requiring a reoperation and taken care of during the period of study. Observation of bowels or the liquid stools through the opened wound, the presence of air-fluid levels on an abdominal plain X-ray and the absence of resumption of intestinal transit allowed us to make a decision to re-operate.

Results: We have re-intervened on 103 patients because of early postoperative complication out of 4730 cases of pediatric surgery carried out in this hospital during these 4 years. This represented 1.54 % of our total surgical activities. The average age of our patients was a 5.2±2.3 year ranging from 2 months to 15 years. The sex ratio was 0.94. Eighty four (81.55 %) of our patients were admitted and operated on emergently. Peritonitis due to digestive system perforation represented 45.28 % of the indications for reoperation followed by the acute intestinal intussusceptions (10.7 %) and traumatic eviscerations (9.7 %). The average duration before the first intervention was 80±13.6mn. The postoperative evisceration was the 1st cause of reoperation followed by the post-operative peritonitis and then post-operative intestinal obstruction. The average time to reoperation was 6.9 ± 4.2 days.

Conclusion: In our hospital risk of reoperation has an association with: indication of first surgery, operating technique, experience of the surgeon, malnutrition and anemia (p<0.05). On the other hand sex, age and the duration of surgery have no effect on early reoperation (p > 0.05).


Early, reintervention, risk factors,child, Mali, Bamako

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Domart A, Bourneuf J: Nouveau Larousse médical. Librairie Larousse 17, paris, 2008:1122 p.

Ching SS, Muralikrishnan VP, Whiteley GS: Relaparotomy: a five year review of indications and outcome. Int J ClinPract 2003, 57:333-337.

Robert R, Hutchins M, Paul G, et al: Relaparatomy for suspect intraperitoneal sepsis after abdominal surgery. World J of Surg 2004; 2(28): 12-5.

Ellozy SH, Harris MT, Bauer JJ, et al: Early postoperative small-bowel obstruction: a prospective evaluation in 242 consecutive abdominal operations. Mount Sinai School of Med 1995; 95:773.

Ciğdem MK, Onen A, Otçu S, et al: Postoperative abdominal evisceration in children: possible risk factors. PediatrSurgInt 2006; 22(8):677-80.

Haluk RU, Erding K, Hadun KA, et al: Urgent abdominal re-exploration. World J of Emerg Surg 2006; 1: 1-10.

Haluk RU, Kamer E, Onal MA: Analysis of early relaparatomy after lower gastrointestinal system surgery. ArchSurg 2008; 38(4): 323-8.

Krivitskii DII, Shuliarenko VA, Babin IA: Indication for relaparatomy. Klinkhir 1990; 1:18-21.

Montravers P, El Housseini L, Rekkik R: Les péritonites postopératoires: diagnostic et indication de réintervantion. Réanimation 2004; 13:431-35.

Kriger AG, ShurkalinBK, Glushkov PS, et al: Diagnosis and treatment of postoperative intraabdominal complications. Khirurgiia 2003;8:19-23.

Hozheimer RG, Gathof B: Re-operation for complicated secondary peritonitis-how to identify patients at risk for persistent sepsis. Eur J Med 2003; 278(3):125-34.

DOI: https://doi.org/10.22037/irjps.v5i1.23594


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