Clinical characteristics and counter measures of 158 cases of unplanned reoperation

Objective To analyze clinical characteristics and causes of unplanned reoperation so as to put forward the counter measures of decreasing the incidence of unplanned reoperation. Method We analyzed the incidence, clinical characteristics, and causes of the cases of unplanned reoperation extracted from Hospital Information System from 2014 to 2017. Results There were 158 cases of unplanned reoperation in our hospital in the four years, with the incidence of 0.24%, in which difficult and critical illness accounted for 65.9%, level three and four surgery accounted for 65.8%. Postoperative hemorrhage, poor wound healing, intestinal adhesion, obstruction, and perforation were the main causes, respectively accounting for 21.5%, 20.9%, 20.9%. Conclusion To decrease the incidence of unplanned reoperation, we should strictly implement medical rules of operative classification, improve surgical technique, enhance the perioperative management of high-risk surgery, and strengthen the reporting system and supervision model of unplanned reoperation. Key words: Unplanned reoperation; Clinical characteristics; Cause analysis; Counter measures