Analysis of the Causes and Department Distribution of 435 cases Undergone Unplanned Reoperation

Objective By analyzing the incidence,department sources and the causes of non-planned reoperation,to discuss the measures in order to prevent non-planned reoperation and improve the operation quality. Method A retrospective analysis was conducted on the clinical data of all surgical patients of a tertiary hospital in 2014. Result Among the data of 62 179 surgical patients who were studied retrospectively,2 411 patients returned to the operating room,and 435 patients experienced the non-planned reoperation. The incidence of non-planned reoperation was 6.94‰. Among the most of the non-planned reoperation happened among male patients between 40~60 years old, the reoperated patients were mainly distributed in the departments of neurosurgery(143 cases),cardiothoracic surgery(39 cases) and oral and maxillofacial surgery(27 cases). The main causes of non-planned reoperation included postoperative bleeding/haematoma, re-adjust of un-desired effect,postoperative leakage,postoperative incision problems and postoperative surgical site infection,accounting for 78.85% of all the causes. Conclusion Strengthening perioperative quality management,strictly implementing report system of unplanned reoperation and ensuring the management of the department with high unplanned reoperation incidence are al key means to decrease the incidence of non-planned reoperation.