Table 2.
High-volume hospital (n = 142) n (%) or median (i.q.r.) |
Low-volume hospital (n = 142) n (%) or median (i.q.r.) |
P | |
---|---|---|---|
Findings in reoperation* | |||
Intra-abdominal infection | 93 (65.5) | 88 (62.0) | 0.537 |
Intra-abdominal bleeding | 29 (20.4) | 21 (14.8) | 0.213 |
Fascial rupture | 16 (11.3) | 19 (13.4) | 0.588 |
Bowel obstruction | 8 (5.6) | 17 (12.0) | 0.059 |
Wound infection (superficial) | 0 | 7 (4.9) | 0.007 |
No findings (negative relaparotomy) | 4 (2.8) | 3 (2.1) | 0.211 |
Surgical approach | |||
Open | 127 (89.4) | 121 (85.2) | 0.285 |
Laparoscopic | 5 (3.5) | 6 (4.2) | 0.758 |
Conversion | 9 (6.4) | 11 (7.7) | 0.643 |
Operating time (min)† | 91.0 (61.8–122.3) | 90.0 (58.0–128.0) | 0.912 |
Blood loss (ml)‡ | 150 (10.0–300.0) | 100 (0.0–300.0) | 0.300 |
Time to reoperation (days from index operation) | 5.2 (3.2–8.6) | 5.8 (3.2–9.2) | 0.425 |
Time of day of reoperation | |||
8–16 h | 34 (23.9) | 35 (24.6) | 0.890 |
16–22 h | 55 (38.7) | 64 (45.1) | 0.279 |
22–6 h | 50 (35.2) | 34 (23.9) | 0.037 |
Procedures | |||
Diversion | |||
Protective diversion | 33 (23.2) | 30 (21.1) | 0.645 |
End ileostomy | 2 (1.4) | 7 (4.9) | 0.092 |
End colostomy | 27 (19.0) | 27 (19.0) | 0.977 |
Anastomotic stoma | 1 (0.7) | 2 (1.4) | 0.566 |
Resection of anastomosis | 53 (37.3) | 52 (36.6) | 0.866 |
New anastomosis | 29 (20.4) | 25 (17.6) | 0.526 |
Resuturing of anastomosis | 28 (19.7) | 16 (11.3) | 0.046 |
Fascial closure | 15 (10.6) | 20 (14.1) | 0.367 |
Bowel resection (other than anastomosis) | 12 (8.5) | 15 (10.6) | 0.544 |
Haemostasis and/or evacuation of haematoma* | 14 (9.9) | 9 (6.3) | 0.269 |
Lysis of adhesions | 6 (4.2) | 11 (7.7) | 0.211 |
*Sum of percentages is over 100% as one patient may have several findings simultaneously. Bold values indicate significance (P < 0.05). †Thirteen patients were missing data for operating time (9 in LVHs and 4 in HVHs). ‡Forty-two patients were missing data for blood loss (24 in LVHs and 18 in HVHs).