Objective: The purpose of this study was assessment of the incidence, indications, management, and outcome of repeat laparotomy after total abdominal hysterectomy in the early postoperative period. Design: This was a retrospective observational study. Materials and Methods: The study sample was a cohort of 4386 women who underwent total abdominal hysterectomy in a tertiary care university hospital during an 84-month period. Repeat laparotomy after abdominal hysterectomy in the early postoperative period was reviewed with regard to clinical, operative findings. Results: The incidence of repeat laparotomy after total abdominal hysterectomy was 0.52% (23/4386). Of these 23 women, 14 (60.9%) were operated on for hemorrhage, 3 (13%) for urinary complications, and 6 (26.1%) for intra-abdominal infections and eventration. One patient (4.3%) died. Conclusions: Repeat laparotomy after total abdominal hysterectomy in the early postoperative period is infrequent. Every precaution during hysterectomy must be taken to reduce the need for repeat laparotomy. Less-invasive hysterectomy alternatives should be an optional first line of treatment. (J GYNECOL SURG 28:197)
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