[Changes of motor-evacuatory function of the gastrointestinal tract after surgery in children with acute...

Area of Science:

• Gastroenterology
• Surgical Innovation
• Pediatric Surgery

Background:

• Appendicitis is common in children and can lead to impaired intestinal function.
• Traditional surgery for appendicitis can cause significant surgical trauma.
• Objective methods are needed to evaluate gastrointestinal motor function post-surgery.

Purpose of the Study:

• To compare the effects of traditional surgery versus endovideosurgical appendectomy on intestinal motor-evacuatory function in children.
• To evaluate the efficacy of computed phonoenterography (CPEG) in assessing gastrointestinal motility after appendicitis surgery.

Main Methods:

• A comparative study involving 60 children aged 6-15 years with plegmonous and gangrenous appendicitis.
• Assessment of motor-evacuatory function using computed phonoenterography (CPEG) after traditional surgery (Volkovich-Dyakonov incision) and endovideosurgical appendectomy.
• Analysis of CPEG data to evaluate changes in intestinal peristalsis.

Main Results:

• Inflammation associated with appendicitis inhibits intestinal motor function.
• Endovideosurgical appendectomy resulted in a faster recovery of intestinal peristalsis compared to traditional surgery.
• CPEG data demonstrated significant differences in the recovery rates of intestinal motor function between the two surgical approaches.

Conclusions:

• Computed phonoenterography (CPEG) provides an objective measure of gastrointestinal motor function.
• Endovideosurgical appendectomy is associated with less surgical trauma and promotes quicker recovery of intestinal motility in pediatric appendicitis patients.
• Minimally invasive surgical techniques may improve post-operative gastrointestinal recovery in children.