Post-caesarean Haematomas, Septic Collections and Wound Disruptions- Re-Laparotomy Based on Abdominal Imaging.

Abstract

Raising incidence of caesarean section is a global concern, especially in the low resource countries [1,2]. Inadequate aseptic precautions, improper surgical technique, indiscriminate use of antibiotics leading to increasing antibiotic resistance, suboptimal post-operative care and ascending genital infections all contribute to increasing incidence of post-caesarean abdominal sepsis. We present a series of six referrals in 12 months; who presented with post-caesarean haematomas, septic collections and uterine wound dehiscence. Decision for re-laparotomy had to be taken diligently taking clinical picture along with imaging findings.