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Laparotomy for Postoperative Hemorrhage for Family Medicine Obstetricians

Abstract

Family Physicians trained in Obstetrics who perform cesarean sections, tubal ligations, and manage ectopic pregnancies surgically will eventually have the need to perform an emergency laparotomy for postoperative hemorrhage. A re-operation necessitates opening the original incision to visualize the area that is bleeding to repair it. The stability of the patient will dictate the need for expedient operative management. It is imperative to have blood available. If there is a physician or surgeon who can assist, it would be helpful. Preparation includes anticipation of most likely sites of bleeding. Since it is essentially the same operation as previously performed, a Family Physician should be credentialed and technically able to perform this operation.