Exploratory Laparotomy After Routine Cardiac Surgery: Results From 17,000 Patients - PubMed
3 hours ago
- #postoperative complications
- #exploratory laparotomy
- #cardiac surgery
- Exploratory laparotomy (exlap) after cardiac surgery occurs in 0.5% of patients.
- Patients requiring exlap have higher rates of complications like mortality, stroke, and sepsis.
- Risk factors include postoperative pressors, rescue therapy, preoperative IABP, white race, chronic dialysis, and history of cerebrovascular accident.
- Exlap is an independent risk factor for operative mortality (OR 3.67).
- Five-year survival post-discharge is lower in the exlap group (58.9%) compared to no-exlap patients (84.4%).
- Gastrointestinal complications necessitating exlap occur in the context of severe postoperative issues.