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Chinese Journal of Stomatological Research(Electronic Edition) ›› 2016, Vol. 10 ›› Issue (01): 60-63. doi: 10.3877/cma.j.issn.1674-1366.2016.01.011

Special Issue:

• Stomatological Hospital Management • Previous Articles     Next Articles

Analysis on causes of unplanned return to surgery in a stomatological hospital

Runzhi Deng1,(), Xiang Yan1, Hongrun Ren1, Chenjie Shao1, Yang Zhou1   

  1. 1. Department of Oral & Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
  • Received:2016-01-03 Online:2016-02-01 Published:2016-02-01
  • Contact: Runzhi Deng
  • About author:
    Corresponding author: Deng Runzhi, Email:

Abstract:

Objective

To determine the clinical characteristics and causes of unplanned return to surgery in a stomatological hospital.

Methods

All 136 patients undergoing unplanned return to operating room from January 2012 to December 2014 were reviewed to analyze the clinical characteristics and causes.

Results

There were 8135 cases undergoing surgery and the rate of unplanned return to surgery was 1.67%. The patients undergoing return to surgery comprised 95 men and 41 women (the male∶female ratio of 2.32∶1) . The mean age was 52.4 years. Among the common causes of unplanned return to operating room, the proportion of vascular crisis, postoperative bleeding and diagnostic issues were 32.35%, 30.15% and 29.41% respectively.

Conclusions

The main causes of unplanned return to surgery in the stomatological hospital were flap vascular crisis, postoperative bleeding and diagnostic issues. Improving perioperative management and diagnostic capability could reduce the incidence of unplanned return to surgery.

Key words: Reoperation, Unplanned, Stomatological hospital, Quality of care

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