Inadvertent gastrointestinal tract injuries (IGITI) during abdominal operations increase postoperative morbidity. Common mechanisms for this @entity130 are not well-defined. The risk factors associated with an increase in missed IGITI during elective abdominal surgery and a possible strategy that may contribute to early diagnosis were not previously evaluated. Between 1998 and 2006, all the @entity1 who underwent a subsequent laparotomy within 30 days of an index operation were identified. @entity1 reoperated for missed IGITI, defined as perforation at sites other than previous @entity254 or bowel repair, were collected. Data pertaining to @entity1 , disease, and primary operations' characteristics, as well as reoperation findings and outcomes were studied. Methods of diagnosis of perforation for each particular @entity1 were assessed. Thirty-two @entity1 (15 females, 17 males) underwent a second operation for gastrointestinal tract leak within 30 days of an index surgery due to missed IGITI. The mean age was 59.5    18.2 years (range 21-87). The average time between the first and second operation was 5.3    3.5 days (range 1-13). Adhesions (27 @entity1 ), previous operations (20 @entity1 ), and laparoscopic approach (13 @entity1 ) were the most commonly documented factors that may result in missed IGITI. Diagnosis of @entity344 due to missed IGITI was made clinically in 12 @entity1 . Twenty @entity1 underwent contrast study before reoperation. Careful selection of @entity1 and type of surgery in addition to awareness of this rare complication may decrease the frequency of missed IGITI, lead to earlier diagnosis, and possibly improve outcomes.

Missed inadvertent XXXX during abdominal operations: characteristics, diagnosis, and treatment.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal leak'] @entity130 :: ('MESH:D014947', 'Disease') :: ['type of injury']
@entity344 :: (MESH:D005767,Disease) :: ['gastrointestinal injuries']
