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Cirugía y cirujanos

versão On-line ISSN 2444-054Xversão impressa ISSN 0009-7411


GODINEZ-VIDAL, Ansony R. et al. Application of the Kiewiet-Van Ruler model to predict the need for relaparotomy in patients with secondary peritonitis. Cir. cir. [online]. 2019, vol.87, n.2, pp.158-163.  Epub 29-Nov-2021. ISSN 2444-054X.


It is crucial the timely detection of a new infection or the persistence of it to improve the survival rates, there is no index that can determine the need for relaparotomy.


To evaluate the diagnostic certainty of the model elaborated by Kiewiet-Van Ruler.


A retrospective, descriptive, cross-sectional study, patients diagnosed with abdominal sepsis who underwent exploratory laparotomy between January 2013 to and May 2015.


We included 109 patients, 63 male patients and 46 female patients. Mortality of 16.5%. 68 cases had a score lower than or equal to 19, of which 17 patients (43%) did need to reoperate. The second group with a score higher than 20 was 41 patients, of which 22 (56%) required reoperation. In the individual analysis of the variables, a significant value was determined in five of them, with p < 0.05. Only one variable (hemoglobin < 8.1 mg/dl) in the chi-square test and confidence interval was not significant and I do not help so much to predict reoperation.


The utility of the model proposed by Kiewiet-Van Ruler results in an acceptable prediction value for re laparotomy.

Palavras-chave : Laparotomy; Sepsis; Infection; Mortality.

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